Individual
DR. RAMIZ MOGANNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
885 SCOTT BLVD #1, SANTA CLARA, CA 95050-5549
(408) 243-2300
Mailing address
35 VISTA CT, SOUTH SAN FRANCISCO, CA 94080-5549
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
65324
CA
Other
Enumeration date
02/02/2016
Last updated
05/23/2024
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