Organization
AMANDA RAFI, DMD APDC
Active
Other names
Rafi Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA RAFI DMD (OWNER)
(480) 510-8888
Entity
Organization
Contact information
Practice address
14591 NEWPORT AVE STE 108, TUSTIN, CA 92780-6026
(949) 771-7234
Mailing address
14591 NEWPORT AVE STE 108, TUSTIN, CA 92780-6026
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598268849
—
CA
Enumeration date
02/14/2019
Last updated
02/14/2019
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