Individual
DANIEL RAMIREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6100 WASHINGTON AVE STE F2, MOUNT PLEASANT, WI 53406-4000
(262) 999-9998
Mailing address
1317 S 59TH AVE, CICERO, IL 60804-1129
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1002066
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019032215
DENTAL LICENSE
IL
01
—
1002066
DENTAL LICENSE
WI
Enumeration date
06/25/2019
Last updated
07/21/2019
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