Provider Demographics
NPI:1104944818
Name:RAMLAOUI, AMAL I (DDS)
Entity type:Individual
Prefix:DR
First Name:AMAL
Middle Name:I
Last Name:RAMLAOUI
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 1:2025 FOREST AVE
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-4806
Mailing Address - Country:US
Mailing Address - Phone:408-275-6430
Mailing Address - Fax:408-275-6557
Practice Address - Street 1:2025 FOREST AVE.
Practice Address - Street 2:SUITE 1A
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-4812
Practice Address - Country:US
Practice Address - Phone:408-275-6430
Practice Address - Fax:408-275-6557
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2012-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA437261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice