Provider Demographics
NPI:1982776696
Name:RAMKELAWAN, CYNTHIA M (DDS)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:M
Last Name:RAMKELAWAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9445 STEVENS RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71106-7566
Mailing Address - Country:US
Mailing Address - Phone:318-686-0493
Mailing Address - Fax:318-754-3795
Practice Address - Street 1:9445 STEVENS RD
Practice Address - Street 2:SUITE 120
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71106-7566
Practice Address - Country:US
Practice Address - Phone:318-686-0493
Practice Address - Fax:318-754-3795
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2012-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA46281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice