Provider Demographics
NPI:1558594648
Name:RAHIMIAN, ABTIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:ABTIN
Middle Name:
Last Name:RAHIMIAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7338 MEADOWCROFT BLVD
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-3489
Mailing Address - Country:US
Mailing Address - Phone:949-679-6958
Mailing Address - Fax:
Practice Address - Street 1:7007 NORTH FWY
Practice Address - Street 2:SUITE #400
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77076-1324
Practice Address - Country:US
Practice Address - Phone:713-481-9500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-24
Last Update Date:2015-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58413122300000X
TX28590122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist