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NPI Code Detail

MEDICARE: DR. JUAN CARLOS RAMIREZ DDS

MEDICARE:  DR. JUAN CARLOS RAMIREZ  DDS
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 Dentistry47310CA

General Provider Information

NPI Number : 1720036684
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JUAN CARLOS RAMIREZ DDS
Provider Business Mailing Address
First Line : 1310 E MAIN ST
Second Line :
City : SANTA PAULA
State : CA
Zip : 93060-2926
Country : US
Telephone Number : 805-525-8159
Fax Number :
Provider Business Practice Location Address
First Line : 1310 E MAIN ST
Second Line :
City : SANTA PAULA
State : CA
Zip : 93060-2926
Country : US
Telephone Number : 805-258-8918
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2006
Last Update Date : 02/02/2009

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Directions to “ DR. JUAN CARLOS RAMIREZ DDS” Practice Location

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