Individual provider · Type 1 NPI
Rohin Ambaram
Oral and Maxillofacial Surgery (Dentist) · Tarzana, CA
NPI number
1457747123
Active
Practice location
19100 Ventura Blvd Ste 3
Tarzana, CA 91356-3234
Mailing address
18 Autumn Leaf Dr
Thousand Oaks, CA 91360-2607
Other practice locations
- Park Place Dental Group, 501 S Reino Rd, Ste G, Newbury Park, CA 91320 · (805) 499-4441
- 4201 Saint Antoine St, Uhc 2F, Detroit, MI 48201-2153 · (313) 745-4622
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 100021 (CA) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Another provider at this address
Other oral and maxillofacial surgery (dentist) providers in Tarzana
- Susan J. Lee, DMD, MDOral and Maxillofacial Surgery (Dentist) Tarzana, CA NPI 1083775696
- Jean-Paul W. Davis, DDS, MSCOral and Maxillofacial Surgery (Dentist) Tarzana, CA NPI 1376746024
- Evaneet Sidhu, DMDOral and Maxillofacial Surgery (Dentist) Tarzana, CA NPI 1477133239
- Frank Laaly, DDS, FICOIOral and Maxillofacial Surgery (Dentist) Tarzana, CA NPI 1730347204
About NPI 1457747123
Rohin Ambaram's National Provider Identifier is 1457747123, issued on Apr 9, 2015. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Tarzana, CA. The record was last updated on Jun 28, 2021.