Provider Demographics
NPI:1194954297
Name:DENSON, RAQUIA DAKIMI (DDS)
Entity type:Individual
Prefix:DR
First Name:RAQUIA
Middle Name:DAKIMI
Last Name:DENSON
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:PO BOX 3272
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75106-3272
Mailing Address - Country:US
Mailing Address - Phone:702-349-1954
Mailing Address - Fax:
Practice Address - Street 1:501 FM 548 STE 100
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-6295
Practice Address - Country:US
Practice Address - Phone:972-552-5128
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-09
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24800122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist