Individual
RAFAILA RAMIREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3307 W CAPITAL AVE, GRAND ISLAND, NE 68803-1334
(308) 382-4297
Mailing address
307 S ADAMS ST, LEXINGTON, NE 68850-2303
(308) 746-1850
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7400
NE
Other
Enumeration date
07/12/2017
Last updated
07/12/2017
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