Provider Demographics
NPI:1912779323
Name:RUHEE JAFFER DDS, PC
Entity Type:Organization
Organization Name:RUHEE JAFFER DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, FOUNDER, OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RUHEE
Authorized Official - Middle Name:
Authorized Official - Last Name:JAFFER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:703-994-0518
Mailing Address - Street 1:912 N SAN VICENTE BLVD APT 1
Mailing Address - Street 2:
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90069-3890
Mailing Address - Country:US
Mailing Address - Phone:323-785-3065
Mailing Address - Fax:
Practice Address - Street 1:900 N LA BREA AVE STE 5
Practice Address - Street 2:
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90038-2322
Practice Address - Country:US
Practice Address - Phone:323-785-3065
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-30
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty