Provider Demographics
NPI:1720408933
Name:ARSHI, MERCEDEH (RDHAP)
Entity Type:Individual
Prefix:
First Name:MERCEDEH
Middle Name:
Last Name:ARSHI
Suffix:
Gender:F
Credentials:RDHAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 DANBROOK DR UNIT 1612
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95835-1686
Mailing Address - Country:US
Mailing Address - Phone:209-402-6173
Mailing Address - Fax:209-571-3740
Practice Address - Street 1:1900 DANBROOK DR UNIT 1612
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95835-1686
Practice Address - Country:US
Practice Address - Phone:209-402-6173
Practice Address - Fax:209-571-3740
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-27
Last Update Date:2014-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA520124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist