Provider Demographics
NPI:1063765394
Name:ELOUBAIDY, RANA (DDS)
Entity type:Individual
Prefix:
First Name:RANA
Middle Name:
Last Name:ELOUBAIDY
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 1:1312 KENTFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94061-2779
Mailing Address - Country:US
Mailing Address - Phone:408-717-3200
Mailing Address - Fax:
Practice Address - Street 1:1312 KENTFIELD AVE
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94061-2779
Practice Address - Country:US
Practice Address - Phone:408-717-3200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-24
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA61802122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist