Provider Demographics
NPI:1770262636
Name:ABHISHEK RANJAN DDS A PROFESSIONAL CORP
Entity type:Organization
Organization Name:ABHISHEK RANJAN DDS A PROFESSIONAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CFO
Authorized Official - Prefix:DR
Authorized Official - First Name:ABHISHEK
Authorized Official - Middle Name:
Authorized Official - Last Name:RANJAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:747-389-4709
Mailing Address - Street 1:2 TOWNSEND ST # 2-0706
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94107-2046
Mailing Address - Country:US
Mailing Address - Phone:747-389-4709
Mailing Address - Fax:
Practice Address - Street 1:26953 MISSION BLVD STE J
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94544-4157
Practice Address - Country:US
Practice Address - Phone:747-389-4709
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental