Provider Demographics
NPI:1447422209
Name:JULIAN RAMIREZ DDS AND ASSOCIATES PC
Entity Type:Organization
Organization Name:JULIAN RAMIREZ DDS AND ASSOCIATES PC
Other - Org Name:ADVENT DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:HUGO
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:773-247-0404
Mailing Address - Street 1:3443 S ASHLAND AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60608-6207
Mailing Address - Country:US
Mailing Address - Phone:773-247-0404
Mailing Address - Fax:773-247-3744
Practice Address - Street 1:3443 S ASHLAND AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60608-6207
Practice Address - Country:US
Practice Address - Phone:773-247-0404
Practice Address - Fax:773-247-3744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-01
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty