Provider Demographics
NPI:1679776801
Name:RAMOS, EDWARD D C (DMD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:D C
Last Name:RAMOS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1870 W CARSON ST
Mailing Address - Street 2:SUITE K
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90501-2848
Mailing Address - Country:US
Mailing Address - Phone:310-782-9322
Mailing Address - Fax:310-782-9322
Practice Address - Street 1:1870 W CARSON ST
Practice Address - Street 2:SUITE K
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90501-2848
Practice Address - Country:US
Practice Address - Phone:310-782-6793
Practice Address - Fax:310-782-9322
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA0353201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice