Provider Demographics
NPI:1598729907
Name:RAMA, ADRIATIK (DDS)
Entity Type:Individual
Prefix:DR
First Name:ADRIATIK
Middle Name:
Last Name:RAMA
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 1:1166 S GILBERT RD
Mailing Address - Street 2:SUITE 117
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85296-3460
Mailing Address - Country:US
Mailing Address - Phone:480-888-8095
Mailing Address - Fax:480-888-7222
Practice Address - Street 1:1166 S GILBERT RD
Practice Address - Street 2:SUITE 117
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85296-3460
Practice Address - Country:US
Practice Address - Phone:480-888-8095
Practice Address - Fax:480-888-8095
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5861122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist