Provider Demographics
NPI:1831586965
Name:MARIA RHI DDS, PROFESSIONAL DENTAL CORPORATOIN
Entity type:Organization
Organization Name:MARIA RHI DDS, PROFESSIONAL DENTAL CORPORATOIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RHI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:619-737-9920
Mailing Address - Street 1:3327 PALM AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92154-1683
Mailing Address - Country:US
Mailing Address - Phone:619-423-4581
Mailing Address - Fax:
Practice Address - Street 1:3327 PALM AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92154-1683
Practice Address - Country:US
Practice Address - Phone:619-423-4581
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-15
Last Update Date:2015-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41672261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA14202600023Medicaid