Provider Demographics
NPI:1114281615
Name:ANANTHASEKA, RAJALAKSHMI (DDS)
Entity Type:Individual
Prefix:
First Name:RAJALAKSHMI
Middle Name:
Last Name:ANANTHASEKA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7395 LEE HWY
Mailing Address - Street 2:SUITE F
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-1724
Mailing Address - Country:US
Mailing Address - Phone:703-641-8717
Mailing Address - Fax:703-641-8720
Practice Address - Street 1:7395 LEE HWY
Practice Address - Street 2:SUITE F
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-1724
Practice Address - Country:US
Practice Address - Phone:703-641-8717
Practice Address - Fax:703-641-8720
Is Sole Proprietor?:No
Enumeration Date:2012-06-28
Last Update Date:2015-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401413801122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist