MEDICARE: RAMIREZ & XIA DENTAL CORP.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1114651593
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAMIREZ & XIA DENTAL CORP.

Provider Business Mailing Address
First Line	:	2409 TARAVAL ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94116-2254
Country	:	US
Telephone Number	:	619-248-3431
Fax Number	:

Provider Business Practice Location Address
First Line	:	5617 GEARY BLVD
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94121-2214
Country	:	US
Telephone Number	:	415-564-6170
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DANIEL RAMIREZ
Credential	:	DDS
Telephone Number	:	415-564-6170

Provider Enumeration Date	:	07/12/2022
Last Update Date	:	07/12/2022

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