Provider Demographics
NPI:1285864801
Name:TREMMEL, RONALD DUANE (DDS)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:DUANE
Last Name:TREMMEL
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 1:4233 COLDWATER CNYN.
Mailing Address - Street 2:
Mailing Address - City:SUTDIO CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91604-1934
Mailing Address - Country:US
Mailing Address - Phone:818-762-2207
Mailing Address - Fax:818-762-2207
Practice Address - Street 1:4233 COLDWATER CNYN.
Practice Address - Street 2:
Practice Address - City:STUDIO CITY
Practice Address - State:CA
Practice Address - Zip Code:91604-1934
Practice Address - Country:US
Practice Address - Phone:818-762-2207
Practice Address - Fax:818-762-2207
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-16
Last Update Date:2009-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20725122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist