Provider Demographics
NPI:1225030893
Name:BIDGOLI, RASHIN T (DMD, PC)
Entity Type:Individual
Prefix:DR
First Name:RASHIN
Middle Name:T
Last Name:BIDGOLI
Suffix:
Gender:F
Credentials:DMD, PC
Other - Prefix:
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Mailing Address - Street 1:21145 WHITFIELD PL
Mailing Address - Street 2:SUITE #101
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20165-7282
Mailing Address - Country:US
Mailing Address - Phone:703-444-4229
Mailing Address - Fax:703-444-9118
Practice Address - Street 1:21145 WHITFIELD PL
Practice Address - Street 2:SUITE #101
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20165-7282
Practice Address - Country:US
Practice Address - Phone:703-444-4229
Practice Address - Fax:703-444-9118
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA04014103131223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics