Provider Demographics
NPI:1962827709
Name:RIZWAAN RAUF, DDS PLLC
Entity Type:Organization
Organization Name:RIZWAAN RAUF, DDS PLLC
Other - Org Name:BEDFORD CREEK DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RIZWAAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RAUF
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:817-355-4444
Mailing Address - Street 1:4105 ST. HWY 121
Mailing Address - Street 2:610
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76021
Mailing Address - Country:US
Mailing Address - Phone:817-355-4444
Mailing Address - Fax:
Practice Address - Street 1:4105 HIGHWAY 121
Practice Address - Street 2:610
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76021-3039
Practice Address - Country:US
Practice Address - Phone:817-355-4444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-04
Last Update Date:2014-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty