Provider Demographics
NPI:1255778569
Name:RANU, GURJEET KAUR (DMD)
Entity type:Individual
Prefix:
First Name:GURJEET
Middle Name:KAUR
Last Name:RANU
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 1:838 ALEXANDER RD
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-6304
Mailing Address - Country:US
Mailing Address - Phone:609-520-8300
Mailing Address - Fax:609-520-8315
Practice Address - Street 1:838 ALEXANDER RD
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-6304
Practice Address - Country:US
Practice Address - Phone:609-520-8300
Practice Address - Fax:609-520-8315
Is Sole Proprietor?:No
Enumeration Date:2013-05-28
Last Update Date:2013-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI00189600122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist