Provider Demographics
NPI:1659768802
Name:RASHEDI DMD PC
Entity Type:Organization
Organization Name:RASHEDI DMD PC
Other - Org Name:NORTH COUNTY DENTAL SURGERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARJAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RASHEDI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:760-294-9208
Mailing Address - Street 1:838 NORDAHL RD
Mailing Address - Street 2:SUITE 125
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92069-3595
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:838 NORDAHL RD
Practice Address - Street 2:SUITE 125
Practice Address - City:SAN MARCOS
Practice Address - State:CA
Practice Address - Zip Code:92069-3595
Practice Address - Country:US
Practice Address - Phone:760-294-7041
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-24
Last Update Date:2019-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
1659578953OtherNPPES
1962826487OtherNPPES
1811943665OtherNPPES
1902156367OtherNPPES
1053709782OtherNPPES
1124421335OtherNPPES
1528485901OtherNPPES
1811257280OtherNPPES
19223866473OtherNPPES