Provider Demographics
NPI:1659578953
Name:RASHEDI, MARJAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:MARJAN
Middle Name:
Last Name:RASHEDI
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 1:838 NORDAHL RD STE 145
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92069-3513
Mailing Address - Country:US
Mailing Address - Phone:760-480-6700
Mailing Address - Fax:760-480-6701
Practice Address - Street 1:838 NORDAHL RD STE 125
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:CA
Practice Address - Zip Code:92069-3513
Practice Address - Country:US
Practice Address - Phone:760-294-6208
Practice Address - Fax:760-294-6325
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2019-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA582021223P0221X
PADS0374161223P0221X
TX252851223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry