Provider Demographics
NPI:1497061881
Name:SKAF, RANA (DDS)
Entity Type:Individual
Prefix:
First Name:RANA
Middle Name:
Last Name:SKAF
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12233 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-2423
Mailing Address - Country:US
Mailing Address - Phone:909-628-0208
Mailing Address - Fax:909-627-3372
Practice Address - Street 1:12233 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-2423
Practice Address - Country:US
Practice Address - Phone:909-628-0208
Practice Address - Fax:909-627-3372
Is Sole Proprietor?:No
Enumeration Date:2010-08-24
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA596471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice