Provider Demographics
NPI:1649458779
Name:RAMIREZ, MARISSA ZAPANTA (DDS)
Entity type:Individual
Prefix:DR
First Name:MARISSA
Middle Name:ZAPANTA
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:MARISSA
Other - Middle Name:ZAPANTA
Other - Last Name:RAMIREZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:63 INDEPENDENCE DR
Mailing Address - Street 2:
Mailing Address - City:AMERICAN CANYON
Mailing Address - State:CA
Mailing Address - Zip Code:94503-1284
Mailing Address - Country:US
Mailing Address - Phone:707-853-9773
Mailing Address - Fax:
Practice Address - Street 1:2830 PINOLE VALLEY RD STE A
Practice Address - Street 2:
Practice Address - City:PINOLE
Practice Address - State:CA
Practice Address - Zip Code:94564-1453
Practice Address - Country:US
Practice Address - Phone:707-853-9773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-31
Last Update Date:2010-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA57446122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist