Provider Demographics
NPI:1215083613
Name:KAJY, RASHA SAFAA (DDS)
Entity type:Individual
Prefix:
First Name:RASHA
Middle Name:SAFAA
Last Name:KAJY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3676 CROWN POINT CT
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32257-5966
Mailing Address - Country:US
Mailing Address - Phone:904-268-2011
Mailing Address - Fax:904-880-3100
Practice Address - Street 1:10435 ORTONVILLE RD STE B
Practice Address - Street 2:
Practice Address - City:CLARKSTON
Practice Address - State:MI
Practice Address - Zip Code:48348-1979
Practice Address - Country:US
Practice Address - Phone:248-625-5222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901018443122300000X
FLDN16977122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist