Provider Demographics
NPI:1124623004
Name:ANA HELENA RANKOVIC DDS INC
Entity type:Organization
Organization Name:ANA HELENA RANKOVIC DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANA
Authorized Official - Middle Name:HELENA
Authorized Official - Last Name:RANKOVIC
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:310-422-7184
Mailing Address - Street 1:5417 VENICE BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90019-5163
Mailing Address - Country:US
Mailing Address - Phone:323-634-9950
Mailing Address - Fax:323-634-0102
Practice Address - Street 1:5417 VENICE BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90019-5163
Practice Address - Country:US
Practice Address - Phone:323-634-9950
Practice Address - Fax:323-643-0102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-01
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty