Provider Demographics
NPI:1548637002
Name:ARSHIYA SHARAFI, DDS, PC
Entity type:Organization
Organization Name:ARSHIYA SHARAFI, DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARSHIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARAFI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:858-997-2701
Mailing Address - Street 1:4125 SORRENTO VALLEY BLVD.
Mailing Address - Street 2:SUITE D
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92121
Mailing Address - Country:US
Mailing Address - Phone:858-997-2701
Mailing Address - Fax:858-550-5954
Practice Address - Street 1:4125 SORRENTO VALLEY BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121
Practice Address - Country:US
Practice Address - Phone:858-997-2701
Practice Address - Fax:858-550-5954
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARSHIYA SHARAFI, DDS, PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-08-31
Last Update Date:2015-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA575401223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty