Healthcare Provider Details

I. General information

NPI: 1982922373
Provider Name (Legal Business Name): SAADIA A RANA, DDS, INC. A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2010
Last Update Date: 09/26/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6687 N BLACKSTONE AVE STE 101
FRESNO CA
93710-3524
US

IV. Provider business mailing address

6687 N BLACKSTONE AVE STE 101
FRESNO CA
93710-3524
US

V. Phone/Fax

Practice location:
  • Phone: 559-439-5231
  • Fax:
Mailing address:
  • Phone: 559-439-5231
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: SAADIA RANA
Title or Position: PRESIDENT
Credential:
Phone: 559-439-5231