Provider Demographics
NPI:1477985679
Name:ARASH RAZI, DDS., INC
Entity Type:Organization
Organization Name:ARASH RAZI, DDS., INC
Other - Org Name:MISSION HILLS DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARASH
Authorized Official - Middle Name:
Authorized Official - Last Name:RAZI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-365-8600
Mailing Address - Street 1:10515 BALBOA BLVD STE 250
Mailing Address - Street 2:
Mailing Address - City:GRANADA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91344-6361
Mailing Address - Country:US
Mailing Address - Phone:818-365-8600
Mailing Address - Fax:818-898-9984
Practice Address - Street 1:10515 BALBOA BLVD STE 250
Practice Address - Street 2:
Practice Address - City:GRANADA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91344-6361
Practice Address - Country:US
Practice Address - Phone:818-365-8600
Practice Address - Fax:818-898-9984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-30
Last Update Date:2020-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54957122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty