Provider Demographics
NPI:1275992547
Name:RAKHIBAHEN JANI DENTAL CORPORATION
Entity Type:Organization
Organization Name:RAKHIBAHEN JANI DENTAL CORPORATION
Other - Org Name:SMILES UNLIMITED
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAKHIBAHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:JANI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:925-447-0440
Mailing Address - Street 1:60 FENTON ST STE 1
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94550-4196
Mailing Address - Country:US
Mailing Address - Phone:925-447-0440
Mailing Address - Fax:925-447-0105
Practice Address - Street 1:60 FENTON ST STE 1
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94550-4196
Practice Address - Country:US
Practice Address - Phone:925-447-0440
Practice Address - Fax:925-447-0105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-15
Last Update Date:2016-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA502741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty