Provider Demographics
NPI:1124035639
Name:CABRERA, RAMON (DDS)
Entity Type:Individual
Prefix:MR
First Name:RAMON
Middle Name:
Last Name:CABRERA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7922 ROSECRANS AVE STE A
Mailing Address - Street 2:
Mailing Address - City:PARAMOUNT
Mailing Address - State:CA
Mailing Address - Zip Code:90723-6043
Mailing Address - Country:US
Mailing Address - Phone:562-633-7172
Mailing Address - Fax:562-633-1610
Practice Address - Street 1:7922 ROSECRANS AVE STE A
Practice Address - Street 2:
Practice Address - City:PARAMOUNT
Practice Address - State:CA
Practice Address - Zip Code:90723-6043
Practice Address - Country:US
Practice Address - Phone:562-633-7172
Practice Address - Fax:562-633-1610
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2008-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA364591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice