Provider Demographics
NPI:1376294470
Name:RISHAN V M PLLC
Entity Type:Organization
Organization Name:RISHAN V M PLLC
Other - Org Name:ELITE DENTAL CARE PLEASANTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:MOHAN RAJ
Authorized Official - Middle Name:
Authorized Official - Last Name:JAGANATHAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:830-569-3888
Mailing Address - Street 1:1144 W OAKLAWN RD
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:TX
Mailing Address - Zip Code:78064-3958
Mailing Address - Country:US
Mailing Address - Phone:830-569-3888
Mailing Address - Fax:
Practice Address - Street 1:1144 W OAKLAWN RD
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:TX
Practice Address - Zip Code:78064-3958
Practice Address - Country:US
Practice Address - Phone:830-569-3888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-11
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty