Provider Demographics
NPI:1225272339
Name:RAMIREZ, RUBEN DARIO (DDS)
Entity Type:Individual
Prefix:
First Name:RUBEN
Middle Name:DARIO
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8008 FROST STREET
Mailing Address - Street 2:SUITE 311
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123
Mailing Address - Country:US
Mailing Address - Phone:858-292-5175
Mailing Address - Fax:858-292-9946
Practice Address - Street 1:8008 FROST STREET
Practice Address - Street 2:SUITE 311
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123
Practice Address - Country:US
Practice Address - Phone:858-292-5175
Practice Address - Fax:858-292-9946
Is Sole Proprietor?:No
Enumeration Date:2009-04-21
Last Update Date:2010-12-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CACA479981223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery