Healthcare Provider Details

I. General information

NPI: 1033780523
Provider Name (Legal Business Name): KOMAL RAMZANALI DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2021
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4230 CRUMS MILL RD STE 202
HARRISBURG PA
17112-2898
US

IV. Provider business mailing address

4230 CRUMS MILL RD STE 202
HARRISBURG PA
17112-2898
US

V. Phone/Fax

Practice location:
  • Phone: 210-326-7740
  • Fax:
Mailing address:
  • Phone: 210-326-7740
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number37446
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDS044509
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: