Provider Demographics
NPI:1801484373
Name:RAHIJ OBID DDS
Entity type:Organization
Organization Name:RAHIJ OBID DDS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DDS, ,INC DENTIST OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAHIJ
Authorized Official - Middle Name:
Authorized Official - Last Name:OBID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-818-7412
Mailing Address - Street 1:1533 VANDAGRIFF WAY
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92883-7654
Mailing Address - Country:US
Mailing Address - Phone:818-818-7412
Mailing Address - Fax:
Practice Address - Street 1:4955 FELSPAR ST STE K
Practice Address - Street 2:
Practice Address - City:JURUPA VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92509-3020
Practice Address - Country:US
Practice Address - Phone:951-681-8175
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-09
Last Update Date:2022-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental