Amanda Rafi, DMD Apdc
Organization Active NPI Dentist · Tustin, CA
NPI 1902362973 · NPPES record last updated Feb 14, 2019
Key facts
- NPI
- 1902362973
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- Legal business name
- AMANDA RAFI, DMD APDC
- Practice address
- 14591 Newport Ave Ste 108
Tustin, CA 92780-6026 - Phone
- (949) 771-7234
- NPI assigned
- Feb 14, 2019
- Organization subpart
- No
Authorized official
- Name
- Dr. Amanda Rafi, DMD
- Title
- Owner
- Phone
- (480) 510-8888
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Amanda Rafi DMD Apdc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | Yes |
Addresses
Primary practice location
14591 Newport Ave Ste 108
Tustin, CA 92780-6026
Mailing address
14591 Newport Ave Ste 108
Tustin, CA 92780-6026
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598268849 | Medicaid | CA |
Other names
- Rafi Dental Group
Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.