Provider Demographics
NPI:1093860850
Name:RAMOS, BRIGETTE MARY (DDS, MS, PA)
Entity Type:Individual
Prefix:DR
First Name:BRIGETTE
Middle Name:MARY
Last Name:RAMOS
Suffix:
Gender:F
Credentials:DDS, MS, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16618 SADDLE CLUB RD
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-1808
Mailing Address - Country:US
Mailing Address - Phone:954-659-9669
Mailing Address - Fax:954-217-9222
Practice Address - Street 1:16618 SADDLE CLUB RD
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326-1808
Practice Address - Country:US
Practice Address - Phone:954-659-9669
Practice Address - Fax:954-217-9222
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN16206122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist