Provider Demographics
NPI:1174265540
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:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAHIJ
Authorized Official - Middle Name:
Authorized Official - Last Name:OBID
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:951-681-8175
Mailing Address - Street 1:4955 FELSPAR ST STE K
Mailing Address - Street 2:
Mailing Address - City:JURUPA VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92509-3020
Mailing Address - Country:US
Mailing Address - Phone:951-681-8175
Mailing Address - Fax:
Practice Address - Street 1:4955 FELSPAR ST STE K
Practice Address - Street 2:
Practice Address - City:JURUPA VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92509-3020
Practice Address - Country:US
Practice Address - Phone:951-681-8175
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DR SMILE DENTAL AND ORTHODONTICS OFFICE OF DR. RAHIJ OBID
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-04-07
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty