Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Raisa K Kanevsky, DDS

Individual provider Dentist · NPI 1831280809

Dr. Raisa K Kanevsky, DDS is a Dentist in Garden Grove, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

12570 Brookhurst St Ste # 2 Primary Dental Care
Garden Grove, CA 92840
Phone: (714) 537-5700
Fax: (714) 537-5701
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 28578 (CA)

Record details

NPI number1831280809
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedSeptember 27, 2006
Last updated in NPPESJuly 8, 2007

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