Provider Demographics
NPI:1942470604
Name:RAMIREZ, ANGELA M (DMD)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:M
Last Name:RAMIREZ
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 1:1865 NW BOCA RATON BLVD
Mailing Address - Street 2:101
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-1638
Mailing Address - Country:US
Mailing Address - Phone:561-447-9505
Mailing Address - Fax:561-394-7880
Practice Address - Street 1:1865 NW BOCA RATON BLVD.
Practice Address - Street 2:101
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432
Practice Address - Country:US
Practice Address - Phone:561-447-9505
Practice Address - Fax:561-338-5224
Is Sole Proprietor?:No
Enumeration Date:2008-03-09
Last Update Date:2009-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN97031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice