Provider Demographics
NPI:1770650350
Name:RAMIREZ, MONICA COZETTE (DDS)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:COZETTE
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:969 TYBALT DR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95127-3659
Mailing Address - Country:US
Mailing Address - Phone:408-254-1473
Mailing Address - Fax:
Practice Address - Street 1:1155 N CAPITOL AVE STE 160
Practice Address - Street 2:CHILDREN'S DENTAL CARE AND BIG PEOPLE TOO
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95132-2500
Practice Address - Country:US
Practice Address - Phone:408-272-2720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA384561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice