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NPI Code Detail

MEDICARE: RAMON CABRERA A PROFESSIONAL DENTAL CORPORATION

MEDICARE: RAMON CABRERA A PROFESSIONAL DENTAL CORPORATION
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
11223G0001XGeneral Practice Dentistry36459CA

General Provider Information

NPI Number : 1588817811
Entity Type Code : Organization
Provider Name (Legal Business Name) : RAMON CABRERA A PROFESSIONAL DENTAL CORPORATION
Provider Business Mailing Address
First Line : 7922 ROSECRANS AVE
Second Line : UNIT A
City : PARAMOUNT
State : CA
Zip : 90723-6009
Country : US
Telephone Number : 562-633-7172
Fax Number : 562-633-1610
Provider Business Practice Location Address
First Line : 7922 ROSECRANS AVE
Second Line : UNIT A
City : PARAMOUNT
State : CA
Zip : 90723-6009
Country : US
Telephone Number : 562-633-7172
Fax Number : 562-633-1610
Authorized Official
Title or Position : SUPERVISOR
Name : MRS. BRUNILDA CABRERA
Credential :
Telephone Number : 562-633-7172
Provider Enumeration Date : 10/30/2008
Last Update Date : 10/30/2008

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Directions to “RAMON CABRERA A PROFESSIONAL DENTAL CORPORATION ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.