Provider Demographics
NPI:1225928724
Name:RAMTIN KHAEF DMD INC
Entity type:Organization
Organization Name:RAMTIN KHAEF DMD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:RAMTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAEF
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:949-510-0225
Mailing Address - Street 1:1159 MIRAMAR ST
Mailing Address - Street 2:
Mailing Address - City:LAGUNA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92651-3500
Mailing Address - Country:US
Mailing Address - Phone:949-510-0225
Mailing Address - Fax:
Practice Address - Street 1:148 N GRAND AVE
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91791-1728
Practice Address - Country:US
Practice Address - Phone:626-858-3305
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty