Provider Demographics
NPI:1598897654
Name:SOHRAB RAHBAR, D.D.S., INC.
Entity Type:Organization
Organization Name:SOHRAB RAHBAR, D.D.S., INC.
Other - Org Name:DOCTOR2TH ESTHETIC & IMPLANT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SOHRAB
Authorized Official - Middle Name:
Authorized Official - Last Name:RAHBAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:949-551-9999
Mailing Address - Street 1:33 CREEK RD STE 170
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92604-7703
Mailing Address - Country:US
Mailing Address - Phone:949-551-9999
Mailing Address - Fax:949-551-9009
Practice Address - Street 1:33 CREEK RD STE 170
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92604-7703
Practice Address - Country:US
Practice Address - Phone:949-551-9999
Practice Address - Fax:949-551-9009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45961122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty