Organization · Type 2 NPI

Rakeshmantena DDS Corp

Point of Service · El Dorado Hills, CA

NPI number 1861891079 Active

Practice location

4355 Town Center Blvd, Suite 211
El Dorado Hills, CA 95762-7115

Fax (916) 939-5077

Specialties and licenses

TaxonomyCodeLicense
Point of Service Primary 305S00000X58253 (CA)

Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

About NPI 1861891079

Rakeshmantena DDS Corp's National Provider Identifier is 1861891079, issued on Aug 14, 2014. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in El Dorado Hills, CA. The record was last updated on Aug 14, 2014.