Provider Demographics
NPI:1972644524
Name:RAMIREZ, WILLIAM A (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:A
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:18772 FLYING TIGER DR
Mailing Address - Street 2:
Mailing Address - City:CANYON COUNTRY
Mailing Address - State:CA
Mailing Address - Zip Code:91387-8250
Mailing Address - Country:US
Mailing Address - Phone:661-250-9600
Mailing Address - Fax:661-250-9601
Practice Address - Street 1:811 S ALVARADO ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90057-4009
Practice Address - Country:US
Practice Address - Phone:213-383-3314
Practice Address - Fax:213-383-0621
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA541931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice