Basic Information
| Provider Information | |||||||||
| NPI: | 1083695043 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MARASHI | ||||||||
| FirstName: | AMIR | ||||||||
| MiddleName: | H | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D.,D.D.S | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10035 PARK CEDAR DR | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | CHARLOTTE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 282108911 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7045429600 | ||||||||
| FaxNumber: | 7045429651 | ||||||||
| Practice Location | |||||||||
| Address1: | 10035 PARK CEDAR DR | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | CHARLOTTE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 282108911 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7045429600 | ||||||||
| FaxNumber: | 7045429651 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/08/2005 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 204E00000X | 01124 | NC | Y | Allopathic & Osteopathic Physicians | Oral & Maxillofacial Surgery |
No ID Information.