Provider Demographics
NPI:1538809306
Name:DR SMILE DENTAL AND ORTHODONTICS OFFICE OF DR RAHIJ OBID
Entity type:Organization
Organization Name:DR SMILE DENTAL AND ORTHODONTICS OFFICE OF DR RAHIJ OBID
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:RAHIJ
Authorized Official - Middle Name:H
Authorized Official - Last Name:OBID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-818-7412
Mailing Address - Street 1:2217 S MOUNTAIN AVE
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91762-6133
Mailing Address - Country:US
Mailing Address - Phone:909-395-5090
Mailing Address - Fax:
Practice Address - Street 1:2217 S MOUNTAIN AVE
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91762-6133
Practice Address - Country:US
Practice Address - Phone:909-395-5090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-30
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes292200000XLaboratoriesDental Laboratory