Provider Demographics
NPI:1912005091
Name:DAIL, RAJNEESH K (DDS)
Entity Type:Individual
Prefix:
First Name:RAJNEESH
Middle Name:K
Last Name:DAIL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:337 EL DORADO ST
Mailing Address - Street 2:SUITE B-2
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-4647
Mailing Address - Country:US
Mailing Address - Phone:831-373-2055
Mailing Address - Fax:831-373-0932
Practice Address - Street 1:337 EL DORADO ST
Practice Address - Street 2:SUITE B-2
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-4647
Practice Address - Country:US
Practice Address - Phone:831-373-2055
Practice Address - Fax:831-373-0932
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA530581223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry