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NPI Code Detail

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

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
1122300000XDentist57446CA

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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