Provider Demographics
NPI:1700847076
Name:RAINA, SONIA TURKI (DMD)
Entity Type:Individual
Prefix:DR
First Name:SONIA
Middle Name:TURKI
Last Name:RAINA
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 1:141 CAMINO ALTO
Mailing Address - Street 2:SUITE # 3
Mailing Address - City:MILL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94941-2246
Mailing Address - Country:US
Mailing Address - Phone:415-383-2200
Mailing Address - Fax:415-383-2250
Practice Address - Street 1:141 CAMINO ALTO
Practice Address - Street 2:SUITE # 3
Practice Address - City:MILL VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94941-2246
Practice Address - Country:US
Practice Address - Phone:415-383-2200
Practice Address - Fax:415-383-2250
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-28
Last Update Date:2013-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA203801223G0001X
CA60973122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1301071Medicaid