Provider Demographics
NPI:1457490096
Name:ROHILA, RAJNISH (DDS)
Entity Type:Individual
Prefix:
First Name:RAJNISH
Middle Name:
Last Name:ROHILA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 LILLY RD NE
Mailing Address - Street 2:SUITE D
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98506-5031
Mailing Address - Country:US
Mailing Address - Phone:360-491-6945
Mailing Address - Fax:
Practice Address - Street 1:208 LILLY RD NE
Practice Address - Street 2:SUITE D
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98506-5031
Practice Address - Country:US
Practice Address - Phone:360-491-6945
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA86301223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics