Provider Demographics
NPI:1295956829
Name:KINI, RAMANAND MANIPUR (DDS)
Entity type:Individual
Prefix:DR
First Name:RAMANAND
Middle Name:MANIPUR
Last Name:KINI
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 1:100 O'CONNOR DRIVE
Mailing Address - Street 2:SUITE 23
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-1638
Mailing Address - Country:US
Mailing Address - Phone:408-998-8383
Mailing Address - Fax:408-998-8585
Practice Address - Street 1:100 O'CONNOR DRIVE
Practice Address - Street 2:SUITE 23
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-1638
Practice Address - Country:US
Practice Address - Phone:408-998-8383
Practice Address - Fax:408-998-8585
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2010-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA396691223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice