Provider Demographics
NPI:1063084804
Name:RAFII, SEBASTIAN RAMTEEN (DDS)
Entity type:Individual
Prefix:DR
First Name:SEBASTIAN
Middle Name:RAMTEEN
Last Name:RAFII
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:236 RICARDO RD
Mailing Address - Street 2:
Mailing Address - City:MILL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94941-4913
Mailing Address - Country:US
Mailing Address - Phone:415-717-2282
Mailing Address - Fax:
Practice Address - Street 1:316 MILLER AVE STE D
Practice Address - Street 2:
Practice Address - City:MILL VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94941-2888
Practice Address - Country:US
Practice Address - Phone:415-388-1726
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-12
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106433122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist