Provider Demographics
NPI:1326398454
Name:SHRESTHA, RAKSHYA (DMD)
Entity Type:Individual
Prefix:
First Name:RAKSHYA
Middle Name:
Last Name:SHRESTHA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:964 LYNN RD SW
Mailing Address - Street 2:
Mailing Address - City:HUTCHINSON
Mailing Address - State:MN
Mailing Address - Zip Code:55350-3151
Mailing Address - Country:US
Mailing Address - Phone:320-345-7997
Mailing Address - Fax:
Practice Address - Street 1:964 LYNN RD SW
Practice Address - Street 2:
Practice Address - City:HUTCHINSON
Practice Address - State:MN
Practice Address - Zip Code:55350-3151
Practice Address - Country:US
Practice Address - Phone:320-345-7997
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-17
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN1856139122300000X
MN13428122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist