Provider Demographics
NPI:1447383708
Name:RAI, B K (DDS)
Entity type:Individual
Prefix:DR
First Name:B
Middle Name:K
Last Name:RAI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1933 CLIFF DR
Mailing Address - Street 2:#8
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93109-1520
Mailing Address - Country:US
Mailing Address - Phone:805-560-9999
Mailing Address - Fax:805-456-3344
Practice Address - Street 1:1933 CLIFF DR
Practice Address - Street 2:#8
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93109-1520
Practice Address - Country:US
Practice Address - Phone:805-560-9999
Practice Address - Fax:805-456-3344
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA353161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice