Provider Demographics
NPI:1851412001
Name:TOUR, RAMIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:RAMIN
Middle Name:
Last Name:TOUR
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 1:907 N. VIRGIL AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90029-2911
Mailing Address - Country:US
Mailing Address - Phone:323-661-8384
Mailing Address - Fax:323-661-0019
Practice Address - Street 1:907 N VIRGIL AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90029-2911
Practice Address - Country:US
Practice Address - Phone:323-661-8384
Practice Address - Fax:323-661-0019
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA480441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice