Provider Demographics
NPI:1386045557
Name:ROOHI, SOBIA (DMD)
Entity Type:Individual
Prefix:DR
First Name:SOBIA
Middle Name:
Last Name:ROOHI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1071 SOUTHERN ARTERY
Mailing Address - Street 2:APT 708
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169-8216
Mailing Address - Country:US
Mailing Address - Phone:781-708-2122
Mailing Address - Fax:
Practice Address - Street 1:1071 SOUTHERN ARTERY
Practice Address - Street 2:APT 708
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169
Practice Address - Country:US
Practice Address - Phone:781-708-2122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-08
Last Update Date:2014-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN18566221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice