Provider Demographics
NPI:1053921916
Name:RAMIREZ, KRISTINA FRIAS (DDS)
Entity type:Individual
Prefix:DR
First Name:KRISTINA
Middle Name:FRIAS
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3006 GATEHOUSE CT
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20832-3024
Mailing Address - Country:US
Mailing Address - Phone:240-533-6423
Mailing Address - Fax:
Practice Address - Street 1:338 N CHARLES ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-4355
Practice Address - Country:US
Practice Address - Phone:410-862-3627
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-05
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD170341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice