Provider Demographics
NPI:1801492962
Name:SANAZ ASHRAFIAN RDH PLLC
Entity type:Organization
Organization Name:SANAZ ASHRAFIAN RDH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:SANAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:ASHRAFIAN
Authorized Official - Suffix:
Authorized Official - Credentials:RDH
Authorized Official - Phone:720-640-2328
Mailing Address - Street 1:5390 W 25TH AVE
Mailing Address - Street 2:
Mailing Address - City:EDGEWATER
Mailing Address - State:CO
Mailing Address - Zip Code:80214-1244
Mailing Address - Country:US
Mailing Address - Phone:720-640-2328
Mailing Address - Fax:
Practice Address - Street 1:5390 W 25TH AVE
Practice Address - Street 2:
Practice Address - City:EDGEWATER
Practice Address - State:CO
Practice Address - Zip Code:80214-1244
Practice Address - Country:US
Practice Address - Phone:720-640-2328
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-04
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes124Q00000XDental ProvidersDental HygienistGroup - Single Specialty