Whalio Doctors

NPI 1700244068

Ramiz Mogannam, DMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Santa Clara, CA

Practice location

Address
885 Scott Blvd #1, Santa Clara, CA 95050-5549
Phone
(408) 243-2300
Mailing address
35 Vista CT, South San Francisco, CA 94080-5549

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 65324 (CA)

Registry record

NPI
1700244068
Entity type
Individual
Sex (as registered)
Male
NPI issued
2 Feb 2016
Record last updated
23 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.