Provider Demographics
NPI:1417071481
Name:SCANDER, RANIA K (DMD)
Entity Type:Individual
Prefix:DR
First Name:RANIA
Middle Name:K
Last Name:SCANDER
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 1:59 POMONA AVE
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-1315
Mailing Address - Country:US
Mailing Address - Phone:973-304-0130
Mailing Address - Fax:
Practice Address - Street 1:59 POMONA AVE
Practice Address - Street 2:
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-1315
Practice Address - Country:US
Practice Address - Phone:973-304-0130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI023191001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice