Provider Demographics
NPI:1285733733
Name:VAHADI, RAMTIN (DDS, MD)
Entity type:Individual
Prefix:DR
First Name:RAMTIN
Middle Name:
Last Name:VAHADI
Suffix:
Gender:M
Credentials:DDS, MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:23415 CRENSHAWBLVD.
Mailing Address - Street 2:SUITE 100
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-3152
Mailing Address - Country:US
Mailing Address - Phone:310-373-6833
Mailing Address - Fax:310-791-7246
Practice Address - Street 1:23415 CRENSHAWBLVD.
Practice Address - Street 2:SUITE 100
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-3152
Practice Address - Country:US
Practice Address - Phone:310-373-6833
Practice Address - Fax:310-791-7246
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA441141223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery