Provider Demographics
NPI:1992946743
Name:GEORGEI, RANIA MOURAD (DMD)
Entity type:Individual
Prefix:DR
First Name:RANIA
Middle Name:MOURAD
Last Name:GEORGEI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29168 ELDORADO WAY
Mailing Address - Street 2:
Mailing Address - City:QUAIL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92587-7255
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:23771 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-2265
Practice Address - Country:US
Practice Address - Phone:951-691-5096
Practice Address - Fax:951-691-5097
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-07
Last Update Date:2009-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA534531223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice