Healthcare Provider Details

I. General information

NPI: 1457495301
Provider Name (Legal Business Name): RASHA WELCH D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2007
Last Update Date: 10/31/2023
Certification Date: 10/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 WISCONSIN AVE
BETHESDA MD
20889-1098
US

IV. Provider business mailing address

9504 SEDDON CT
BETHESDA MD
20817-2048
US

V. Phone/Fax

Practice location:
  • Phone: 301-400-2060
  • Fax:
Mailing address:
  • Phone: 619-813-7363
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberDEN1001982
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: