Provider Demographics
NPI:1225234636
Name:GHAEM MAGHAMI, RAMA (DDS)
Entity Type:Individual
Prefix:DR
First Name:RAMA
Middle Name:
Last Name:GHAEM MAGHAMI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 WILDLAND
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92603-0224
Mailing Address - Country:US
Mailing Address - Phone:949-387-2877
Mailing Address - Fax:949-364-6388
Practice Address - Street 1:27871 MEDICAL CENTER RD
Practice Address - Street 2:SUITE 165
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-6404
Practice Address - Country:US
Practice Address - Phone:949-364-2529
Practice Address - Fax:949-364-6388
Is Sole Proprietor?:No
Enumeration Date:2007-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA419151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice