Individual
CARLOS ANTONIO RAMIREZ-NEYRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, DDS
Contact information
Practice address
11900 E 12 MILE RD STE 308, WARREN, MI 48093-3491
(586) 582-7100
(586) 576-4344
Mailing address
1980 SOMERSET BLVD APT 102, TROY, MI 48084-3935
(248) 890-9833
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901019126
MI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2901019126
MI
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
4301097470
MI
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
ME112441
FL
208D00000X
General Practice Physician
4301097470
MI
Other
Enumeration date
05/02/2007
Last updated
04/30/2024
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