| NPI | 1891962064 |
|---|---|
| Doing Business As | RANIEU FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | HERMA RANOLA Owner 530-400-6629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: WA DE00010261) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2008-05-15 |