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Organization
RAMSTRUM DENTAL PRACTICE
Active
Organization
RAMSTRUM DENTAL PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAGMAR JOHANNA RAMSTRUM DDS (OWNER)
(323) 753-1411
Entity
Organization
Contact information
Practice address
643 W MANCHESTER AVE, LOS ANGELES, CA 90044-5718
(323) 753-1411
(323) 753-3109
Mailing address
643 W MANCHESTER AVE, LOS ANGELES, CA 90044-5718
(323) 753-1411
(323) 753-3109
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23134
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23134
DENTI-CAL ID
CA
Enumeration date
01/05/2007
Last updated
08/22/2020
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