Provider Demographics
NPI:1649302126
Name:RAKSHAK, BHARAT (DDS, MDS)
Entity type:Individual
Prefix:DR
First Name:BHARAT
Middle Name:
Last Name:RAKSHAK
Suffix:
Gender:M
Credentials:DDS, MDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1070 N DAVIS RD
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93907-2045
Mailing Address - Country:US
Mailing Address - Phone:831-757-2222
Mailing Address - Fax:831-424-0549
Practice Address - Street 1:1070 N DAVIS RD
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93907-2045
Practice Address - Country:US
Practice Address - Phone:831-757-2222
Practice Address - Fax:831-424-0549
Is Sole Proprietor?:No
Enumeration Date:2007-03-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA49790122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist