Provider Demographics
NPI:1033734512
Name:RANA, NAMRATA LANDGE (BDS, MSD, MS)
Entity Type:Individual
Prefix:DR
First Name:NAMRATA
Middle Name:LANDGE
Last Name:RANA
Suffix:
Gender:F
Credentials:BDS, MSD, MS
Other - Prefix:DR
Other - First Name:NAMRATA
Other - Middle Name:PRADEEP
Other - Last Name:LANDGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BDS, MSD, MS
Mailing Address - Street 1:11410 TURTLEBACK LN
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92127-2016
Mailing Address - Country:US
Mailing Address - Phone:408-624-0420
Mailing Address - Fax:
Practice Address - Street 1:11092 ANDERSON ST RM NO3302
Practice Address - Street 2:
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92350-2005
Practice Address - Country:US
Practice Address - Phone:408-624-0420
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-10
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1097301223P0221X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program