Provider Demographics
NPI:1689720633
Name:RAMOS, MARIA CARMEN (DMD)
Entity Type:Individual
Prefix:DR
First Name:MARIA CARMEN
Middle Name:
Last Name:RAMOS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1730 MANHATTAN BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90266-6224
Mailing Address - Country:US
Mailing Address - Phone:310-372-4400
Mailing Address - Fax:310-372-4425
Practice Address - Street 1:1730 MANHATTAN BEACH BLVD
Practice Address - Street 2:
Practice Address - City:MANHATTAN BEACH
Practice Address - State:CA
Practice Address - Zip Code:90266-6224
Practice Address - Country:US
Practice Address - Phone:310-372-4400
Practice Address - Fax:310-372-4425
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA394671223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics