Provider Demographics
NPI:1376660936
Name:ABOOD, RANA (DMD)
Entity Type:Individual
Prefix:DR
First Name:RANA
Middle Name:
Last Name:ABOOD
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 NEWTON ST
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:MA
Mailing Address - Zip Code:02493-2310
Mailing Address - Country:US
Mailing Address - Phone:617-678-4220
Mailing Address - Fax:617-859-2939
Practice Address - Street 1:770 TREMONT ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-1106
Practice Address - Country:US
Practice Address - Phone:617-859-3939
Practice Address - Fax:617-859-2939
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA200161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice