MEDICARE: DR. MARISSA ZAPANTA RAMIREZ D.D.S.

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	122300000X	Dentist	57446	CA

General Provider Information

NPI Number	:	1649458779
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARISSA ZAPANTA RAMIREZ D.D.S.

Provider Business Mailing Address
First Line	:	63 INDEPENDENCE DR
Second Line	:
City	:	AMERICAN CANYON
State	:	CA
Zip	:	94503-1284
Country	:	US
Telephone Number	:	707-853-9773
Fax Number	:

Provider Business Practice Location Address
First Line	:	2830 PINOLE VALLEY RD STE A
Second Line	:
City	:	PINOLE
State	:	CA
Zip	:	94564-1453
Country	:	US
Telephone Number	:	707-853-9773
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2008
Last Update Date	:	03/24/2010

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Directions to “ DR. MARISSA ZAPANTA RAMIREZ D.D.S.” Practice Location

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