Provider Demographics
NPI:1104924935
Name:RAMZI, NADER (DDS)
Entity type:Individual
Prefix:DR
First Name:NADER
Middle Name:
Last Name:RAMZI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:16406 WHITTIER BLVD
Mailing Address - Street 2:500
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90603-3043
Mailing Address - Country:US
Mailing Address - Phone:562-694-0396
Mailing Address - Fax:562-902-1184
Practice Address - Street 1:4477 W 118TH ST
Practice Address - Street 2:500
Practice Address - City:HAWTHORNE
Practice Address - State:CA
Practice Address - Zip Code:90250-2255
Practice Address - Country:US
Practice Address - Phone:310-970-9255
Practice Address - Fax:310-970-1317
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2016-05-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA416701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice