Provider Demographics
NPI:1255428611
Name:RAWLINS, B MICHAEL (DDS)
Entity type:Individual
Prefix:DR
First Name:B
Middle Name:MICHAEL
Last Name:RAWLINS
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 1:7916 PEBBLE BEACH DR
Mailing Address - Street 2:#205
Mailing Address - City:CITRUS HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:95610
Mailing Address - Country:US
Mailing Address - Phone:916-961-2180
Mailing Address - Fax:916-961-2181
Practice Address - Street 1:7916 PEBBLE BEACH DR
Practice Address - Street 2:#205
Practice Address - City:CITRUS HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:95610
Practice Address - Country:US
Practice Address - Phone:916-961-2180
Practice Address - Fax:916-961-2181
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37901122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist