Healthcare Provider Details

I. General information

NPI: 1417860610
Provider Name (Legal Business Name): RUMI DENTAL & ORTHODONTICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1011 W HALLANDALE BEACH BLVD STE 101
HALLANDALE BEACH FL
33009-5278
US

IV. Provider business mailing address

1994 E SUNRISE BLVD # 4A
FORT LAUDERDALE FL
33304-1462
US

V. Phone/Fax

Practice location:
  • Phone: 301-922-2665
  • Fax:
Mailing address:
  • Phone: 301-922-2665
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. NONA NAGHAVI
Title or Position: DDS
Credential:
Phone: 301-922-2665