Provider Demographics
NPI:1043409279
Name:RAFIEE, RAFI (DDS)
Entity Type:Individual
Prefix:DR
First Name:RAFI
Middle Name:
Last Name:RAFIEE
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 1:1600 S EAST RD
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06032-2610
Mailing Address - Country:US
Mailing Address - Phone:860-676-0050
Mailing Address - Fax:860-674-9484
Practice Address - Street 1:1600 S EAST RD
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06032-2610
Practice Address - Country:US
Practice Address - Phone:860-676-0050
Practice Address - Fax:860-674-9484
Is Sole Proprietor?:No
Enumeration Date:2007-10-24
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT009769122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist