Provider Demographics
NPI:1659632099
Name:RATON, REBECCA ALMONEDA (DDS)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:ALMONEDA
Last Name:RATON
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 1:23405 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CARSON
Mailing Address - State:CA
Mailing Address - Zip Code:90745-5231
Mailing Address - Country:US
Mailing Address - Phone:310-835-5373
Mailing Address - Fax:424-203-6516
Practice Address - Street 1:23405 MAIN ST
Practice Address - Street 2:
Practice Address - City:CARSON
Practice Address - State:CA
Practice Address - Zip Code:90745-5231
Practice Address - Country:US
Practice Address - Phone:310-835-5373
Practice Address - Fax:424-203-6516
Is Sole Proprietor?:No
Enumeration Date:2012-06-01
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45180122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA45180OtherDENTIST