Provider Demographics
NPI:1912016924
Name:RANA, SAMINA (DDS)
Entity Type:Individual
Prefix:
First Name:SAMINA
Middle Name:
Last Name:RANA
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 1:85 GREENBROOK RD
Mailing Address - Street 2:
Mailing Address - City:GREEN BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:08812-2627
Mailing Address - Country:US
Mailing Address - Phone:732-424-0059
Mailing Address - Fax:732-424-0103
Practice Address - Street 1:85 GREENBROOK RD
Practice Address - Street 2:
Practice Address - City:GREEN BROOK
Practice Address - State:NJ
Practice Address - Zip Code:08812-2627
Practice Address - Country:US
Practice Address - Phone:732-424-0059
Practice Address - Fax:732-424-0103
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI0190291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice