Provider Demographics
NPI:1558583252
Name:ORDONEZ, RAMON NAVARRO (DDS)
Entity Type:Individual
Prefix:DR
First Name:RAMON
Middle Name:NAVARRO
Last Name:ORDONEZ
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 1:2542 W 3RD ST
Mailing Address - Street 2:SUITE F
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90057-1929
Mailing Address - Country:US
Mailing Address - Phone:213-384-2204
Mailing Address - Fax:213-384-4644
Practice Address - Street 1:2542 W 3RD ST
Practice Address - Street 2:SUITE F
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90057-1929
Practice Address - Country:US
Practice Address - Phone:213-384-2204
Practice Address - Fax:213-384-4644
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2011-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA412031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice