Healthcare Provider Details

I. General information

NPI: 1942295068
Provider Name (Legal Business Name): JENNIFER ANN P. RAMIREZ D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 09/14/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1606 HIGH ST
DELANO CA
93215-1719
US

IV. Provider business mailing address

1606 HIGH ST
DELANO CA
93215-1719
US

V. Phone/Fax

Practice location:
  • Phone: 661-721-1800
  • Fax:
Mailing address:
  • Phone: 661-721-1800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number52105
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: