Provider Demographics
NPI:1932317716
Name:ABD ALLAH, ALAA RAMADAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALAA
Middle Name:RAMADAN
Last Name:ABD ALLAH
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 1:27 FAIRFIELD
Mailing Address - Street 2:
Mailing Address - City:FOOTHILL RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:92610-1856
Mailing Address - Country:US
Mailing Address - Phone:310-779-9181
Mailing Address - Fax:
Practice Address - Street 1:530 S MAIN ST
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-4525
Practice Address - Country:US
Practice Address - Phone:323-773-3094
Practice Address - Fax:323-773-6235
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2015-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA55546122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist