Provider Demographics
NPI:1376538702
Name:RAMIREZ, EDWIN P (DDS)
Entity Type:Individual
Prefix:DR
First Name:EDWIN
Middle Name:P
Last Name:RAMIREZ
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 1:1318 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:DELANO
Mailing Address - State:CA
Mailing Address - Zip Code:93215-1713
Mailing Address - Country:US
Mailing Address - Phone:661-721-1800
Mailing Address - Fax:
Practice Address - Street 1:1318 HIGH ST
Practice Address - Street 2:
Practice Address - City:DELANO
Practice Address - State:CA
Practice Address - Zip Code:93215-1713
Practice Address - Country:US
Practice Address - Phone:661-721-1800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-12
Last Update Date:2016-02-05
Deactivation Date:2006-03-22
Deactivation Code:
Reactivation Date:2006-04-13
Provider Licenses
StateLicense IDTaxonomies
CA402991223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAD93236-01OtherDENTICAL
CAB40299-01OtherDELTA HEALTHY FAMILY
CAD93236-02OtherDENTICAL, SECOND OFFICE
CAB40299-02OtherDELTA HEALTHY FAMILY, SEC