Provider Demographics
NPI:1518044411
Name:PRASHER, RAJEEV (DDS)
Entity Type:Individual
Prefix:DR
First Name:RAJEEV
Middle Name:
Last Name:PRASHER
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 1:4915 YORBA RANCH RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92887-2508
Mailing Address - Country:US
Mailing Address - Phone:714-777-8884
Mailing Address - Fax:714-777-5973
Practice Address - Street 1:4915 YORBA RANCH RD
Practice Address - Street 2:SUITE C
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92887-2508
Practice Address - Country:US
Practice Address - Phone:714-777-8884
Practice Address - Fax:714-777-5973
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2014-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010194121223G0001X
CA610651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice