Provider Demographics
NPI:1609750546
Name:DAVE, TWISHA RAKESH (DDS)
Entity type:Individual
Prefix:
First Name:TWISHA
Middle Name:RAKESH
Last Name:DAVE
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 1:2522 RUBEL WAY APT D
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93455-8418
Mailing Address - Country:US
Mailing Address - Phone:213-776-8001
Mailing Address - Fax:
Practice Address - Street 1:238 E BETTERAVIA RD STE D
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-7889
Practice Address - Country:US
Practice Address - Phone:805-309-0570
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA112190122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist