Provider Demographics
NPI:1932260403
Name:KASHLAN, RANIA RUTH (DDS)
Entity Type:Individual
Prefix:DR
First Name:RANIA
Middle Name:RUTH
Last Name:KASHLAN
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 1:751 LEIGH PALM AVE
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-8252
Mailing Address - Country:US
Mailing Address - Phone:954-812-9919
Mailing Address - Fax:
Practice Address - Street 1:751 LEIGH PALM AVE
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-8252
Practice Address - Country:US
Practice Address - Phone:954-812-9919
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2015-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190267251223G0001X
KY8973122300000X
FLDN18607122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL9185447Medicaid