Individual
DR. GERALD B RAMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
330 S CHILOQUIN BLVD, CHILOQUIN, OR 97624-6747
(541) 882-1487
(541) 783-2028
Mailing address
330 S CHILOQUIN BLVD, CHILOQUIN, OR 97624-6747
(541) 882-1487
(541) 783-2028
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10562
OR
1223G0001X
General Practice Dentistry
D10562
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
071428
—
OR
01
—
10562
OREGON BOARD OF DENTISTRY
OR
01
—
DN14361
LICENSE
FL
Enumeration date
12/18/2006
Last updated
10/21/2022
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