Provider Demographics
NPI:1518017193
Name:MONICA RAO DMD, INC.
Entity Type:Organization
Organization Name:MONICA RAO DMD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:D CHAR
Authorized Official - Last Name:RAO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:508-839-4233
Mailing Address - Street 1:33 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NORTH GRAFTON
Mailing Address - State:MA
Mailing Address - Zip Code:01536-1560
Mailing Address - Country:US
Mailing Address - Phone:508-839-4233
Mailing Address - Fax:508-839-0077
Practice Address - Street 1:33 N MAIN ST
Practice Address - Street 2:
Practice Address - City:NORTH GRAFTON
Practice Address - State:MA
Practice Address - Zip Code:01536-1560
Practice Address - Country:US
Practice Address - Phone:508-839-4233
Practice Address - Fax:508-839-0077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA198681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty