Provider Demographics
NPI:1942517784
Name:PANDHER, RAMONA (DDS)
Entity type:Individual
Prefix:DR
First Name:RAMONA
Middle Name:
Last Name:PANDHER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:923 FOLSOM ST APT 306
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94107-2289
Mailing Address - Country:US
Mailing Address - Phone:917-349-3070
Mailing Address - Fax:
Practice Address - Street 1:2660 5TH ST STE C
Practice Address - Street 2:
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94501-6577
Practice Address - Country:US
Practice Address - Phone:510-384-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-31
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014129851223G0001X
CA1006941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice