Provider Demographics
NPI:1710409263
Name:RAMIREZ, GARRET (DMD)
Entity Type:Individual
Prefix:DR
First Name:GARRET
Middle Name:
Last Name:RAMIREZ
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 1:2501 W LA HABRA BLVD STE 7
Mailing Address - Street 2:
Mailing Address - City:LA HABRA
Mailing Address - State:CA
Mailing Address - Zip Code:90631-4354
Mailing Address - Country:US
Mailing Address - Phone:562-698-6684
Mailing Address - Fax:
Practice Address - Street 1:2501 W LA HABRA BLVD STE 7
Practice Address - Street 2:
Practice Address - City:LA HABRA
Practice Address - State:CA
Practice Address - Zip Code:90631-4354
Practice Address - Country:US
Practice Address - Phone:562-698-6684
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-15
Last Update Date:2020-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101119122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist