Provider Demographics
NPI:1346259462
Name:DOGRA, RACHNA (DDS)
Entity Type:Individual
Prefix:
First Name:RACHNA
Middle Name:
Last Name:DOGRA
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 1:400 PERRINE RD STE 410
Mailing Address - Street 2:
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857-2811
Mailing Address - Country:US
Mailing Address - Phone:732-727-7600
Mailing Address - Fax:732-727-6428
Practice Address - Street 1:400 PERRINE RD
Practice Address - Street 2:SUITE 410
Practice Address - City:OLD BRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08857-2843
Practice Address - Country:US
Practice Address - Phone:732-727-7600
Practice Address - Fax:732-727-6428
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2019-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ022097001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice