Provider Demographics
NPI:1477912533
Name:SAINI, REENA RANI (DMD, MPH)
Entity Type:Individual
Prefix:DR
First Name:REENA
Middle Name:RANI
Last Name:SAINI
Suffix:
Gender:F
Credentials:DMD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 SIERRA VISTA PL
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95116-2637
Mailing Address - Country:US
Mailing Address - Phone:408-834-9282
Mailing Address - Fax:
Practice Address - Street 1:4515 FERMI PL
Practice Address - Street 2:STE 106
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95618-9410
Practice Address - Country:US
Practice Address - Phone:530-750-1955
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-17
Last Update Date:2016-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA646061223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0001XDental ProvidersDentistDental Public Health