Provider Demographics
NPI:1598305484
Name:RAI, HARINDER (DDS)
Entity Type:Individual
Prefix:DR
First Name:HARINDER
Middle Name:
Last Name:RAI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6253 DOUGHERTY RD APT 2201
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-2681
Mailing Address - Country:US
Mailing Address - Phone:408-466-6873
Mailing Address - Fax:
Practice Address - Street 1:1100 PARK PL STE 30
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94403-7106
Practice Address - Country:US
Practice Address - Phone:650-627-8191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-09
Last Update Date:2020-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADDS1042681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice