Provider Demographics
NPI:1679088652
Name:DR. RAMIREZ & DR. URRUCHI DENTAL GROUP INC
Entity type:Organization
Organization Name:DR. RAMIREZ & DR. URRUCHI DENTAL GROUP INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP, SECRETARY
Authorized Official - Prefix:DR
Authorized Official - First Name:LETICIA
Authorized Official - Middle Name:D
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:951-288-9319
Mailing Address - Street 1:3248 E SHIELDS AVE STE B
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93726-6915
Mailing Address - Country:US
Mailing Address - Phone:559-225-8300
Mailing Address - Fax:
Practice Address - Street 1:3248 E SHIELDS AVE STE B
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93726-6915
Practice Address - Country:US
Practice Address - Phone:559-225-8300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-12
Last Update Date:2019-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101357261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental