Provider Demographics
NPI:1275562340
Name:RAMMO, KHALDOON (DDS)
Entity Type:Individual
Prefix:
First Name:KHALDOON
Middle Name:
Last Name:RAMMO
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 1:18800 MAIN ST
Mailing Address - Street 2:SUITE 205
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92648-1707
Mailing Address - Country:US
Mailing Address - Phone:714-841-4954
Mailing Address - Fax:714-841-4964
Practice Address - Street 1:18800 MAIN ST
Practice Address - Street 2:SUITE 205
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92648-1707
Practice Address - Country:US
Practice Address - Phone:714-841-4954
Practice Address - Fax:714-841-4964
Is Sole Proprietor?:No
Enumeration Date:2006-07-01
Last Update Date:2009-05-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA579721223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery