Provider Demographics
NPI:1104395326
Name:RASHIDI DDS, INC.
Entity Type:Organization
Organization Name:RASHIDI DDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:MAHBOD
Authorized Official - Last Name:RASHIDI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, AEODO, MBA
Authorized Official - Phone:949-770-8011
Mailing Address - Street 1:27725 SANTA MARGARITA PKWY STE 241
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-6708
Mailing Address - Country:US
Mailing Address - Phone:949-770-8011
Mailing Address - Fax:
Practice Address - Street 1:27725 SANTA MARGARITA PKWY STE 241
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-6708
Practice Address - Country:US
Practice Address - Phone:949-770-8011
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-16
Last Update Date:2018-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty