Provider Demographics
NPI:1376063206
Name:FARRKH, RABIA (DDS)
Entity Type:Individual
Prefix:
First Name:RABIA
Middle Name:
Last Name:FARRKH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:RABIA
Other - Middle Name:
Other - Last Name:FARRKH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:16269 E BELLEVIEW PL
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80015-4159
Mailing Address - Country:US
Mailing Address - Phone:1720-212-7740
Mailing Address - Fax:
Practice Address - Street 1:16269 E BELLEVIEW PL
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80015-4159
Practice Address - Country:US
Practice Address - Phone:720-212-7740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-21
Last Update Date:2017-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.00203204122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist