| Anu Rajasekaran, Dmd.pc. | |
|
12630 Monte Vista Rd Ste 103 Poway CA 92064-2526 | |
| (858) 755-7474 | |
| Not Available |
| Full Name | Anu Rajasekaran, Dmd.pc. |
|---|---|
| Speciality | Dentist |
| Location | 12630 Monte Vista Rd Ste 103, Poway, California |
| Authorized Official Name and Position | Anu R Rajasekaran (PRESIDENT) |
| Authorized Official Contact | 8587557474 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anu Rajasekaran, Dmd.pc. 12068 Daymark Ct San Diego CA 92131-3801 Ph: (858) 449-2255 | Anu Rajasekaran, Dmd.pc. 12630 Monte Vista Rd Ste 103 Poway CA 92064-2526 Ph: (858) 755-7474 |
| NPI Number | 1386004497 |
|---|---|
| Provider Enumeration Date | 03/02/2016 |
| Last Update Date | 10/02/2020 |
| Certification Date | 10/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386004497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | CA45313 (California) | Primary |
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