Provider Demographics
NPI:1598104697
Name:RANJAN RAJBANSHI DDS INC
Entity Type:Organization
Organization Name:RANJAN RAJBANSHI DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RANJAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RAJBANSHI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:805-215-5500
Mailing Address - Street 1:13061 ROSEDALE HWY
Mailing Address - Street 2:SUITE B
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93314-7612
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13061 ROSEDALE HWY
Practice Address - Street 2:SUITE B
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93314-7612
Practice Address - Country:US
Practice Address - Phone:661-588-5511
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RANJAN RAJBANSHI DDS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-06-21
Last Update Date:2013-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty