Provider Demographics
NPI:1982946380
Name:ALLAHI, GHEETY (RDHAP)
Entity Type:Individual
Prefix:
First Name:GHEETY
Middle Name:
Last Name:ALLAHI
Suffix:
Gender:F
Credentials:RDHAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12584 CAMARERO CT
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-2279
Mailing Address - Country:US
Mailing Address - Phone:858-722-5047
Mailing Address - Fax:858-847-2200
Practice Address - Street 1:12584 CAMARERO CT
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92130-2279
Practice Address - Country:US
Practice Address - Phone:858-722-5047
Practice Address - Fax:858-847-2200
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-23
Last Update Date:2013-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA465124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist