Ike Himayat Rahimi, DMD
Dentist in Placerville, CA. Individual provider (NPI-1).
NPI number1174525331
StatusActive
Last updated in NPPESAug 6, 2020
Details
- NPI
- 1174525331
- Entity type
- Individual (NPI-1)
- Name
- Mr. Ike Himayat Rahimi
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 1, 2005
- Certification date
- Aug 6, 2020
- Last updated
- Aug 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 52455 | CA | Yes |
Practice location
1045 Marshall WayPlacerville, CA 95667-5721
Phone 530-622-0701 · Fax 530-622-7695
Mailing address
2808 Mallord LnPlacerville, CA 95667
Phone 530-622-0701 · Fax 530-663-8491
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All 20 Dentist providers in Placerville · All 1,220 providers in Placerville
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