Provider Demographics
NPI:1396937637
Name:RSM DENTAL CORP
Entity type:Organization
Organization Name:RSM DENTAL CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RINESH
Authorized Official - Middle Name:
Authorized Official - Last Name:GANATRA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:949-766-0006
Mailing Address - Street 1:22195 EL PASEO STE 200
Mailing Address - Street 2:
Mailing Address - City:RANCHO SANTA MARGARITA
Mailing Address - State:CA
Mailing Address - Zip Code:92688-3952
Mailing Address - Country:US
Mailing Address - Phone:949-766-0006
Mailing Address - Fax:949-766-0066
Practice Address - Street 1:22195 EL PASEO STE 200
Practice Address - Street 2:
Practice Address - City:RANCHO SANTA MARGARITA
Practice Address - State:CA
Practice Address - Zip Code:92688-3952
Practice Address - Country:US
Practice Address - Phone:949-766-0006
Practice Address - Fax:949-766-0066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-10
Last Update Date:2007-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental