Provider Demographics
NPI:1649393687
Name:NADER RAMZI DDS INC
Entity Type:Organization
Organization Name:NADER RAMZI DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NADER
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-970-9255
Mailing Address - Street 1:4477 W 118TH ST
Mailing Address - Street 2:500
Mailing Address - City:HAWTHORNE
Mailing Address - State:CA
Mailing Address - Zip Code:90250-2255
Mailing Address - Country:US
Mailing Address - Phone:310-970-9255
Mailing Address - Fax:310-970-1317
Practice Address - Street 1:4477 W 118TH ST
Practice Address - Street 2:500
Practice Address - City:HAWTHORNE
Practice Address - State:CA
Practice Address - Zip Code:90250-2255
Practice Address - Country:US
Practice Address - Phone:310-970-9255
Practice Address - Fax:310-970-1317
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41670122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty