Provider Demographics
NPI:1710032792
Name:RAMOS, DOLORES (RDHAP)
Entity Type:Individual
Prefix:
First Name:DOLORES
Middle Name:
Last Name:RAMOS
Suffix:
Gender:F
Credentials:RDHAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1241 N WALDEN LN
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92807-2423
Mailing Address - Country:US
Mailing Address - Phone:714-336-3006
Mailing Address - Fax:
Practice Address - Street 1:501 S IDAHO ST
Practice Address - Street 2:SUITE 190
Practice Address - City:LA HABRA
Practice Address - State:CA
Practice Address - Zip Code:90631-6047
Practice Address - Country:US
Practice Address - Phone:562-690-0400
Practice Address - Fax:562-694-2352
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2009-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11434124Q00000X
CA34124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist