| Amanda Rafi, Dmd Apdc | |
|
14591 Newport Ave Ste 108 Tustin CA 92780-6026 | |
| (949) 771-7234 | |
| Not Available |
| Full Name | Amanda Rafi, Dmd Apdc |
|---|---|
| Speciality | Dentist |
| Location | 14591 Newport Ave Ste 108, Tustin, California |
| Authorized Official Name and Position | Amanda Rafi (OWNER) |
| Authorized Official Contact | 4805108888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Rafi, Dmd Apdc 14591 Newport Ave Ste 108 Tustin CA 92780-6026 Ph: () - | Amanda Rafi, Dmd Apdc 14591 Newport Ave Ste 108 Tustin CA 92780-6026 Ph: (949) 771-7234 |
| NPI Number | 1902362973 |
|---|---|
| Provider Enumeration Date | 02/14/2019 |
| Last Update Date | 02/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902362973 | NPI | - | NPPES |
| 1598268849 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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