| Dr Elayne Smithen Ramos, Dmd, Pc | |
|
6227 Rising Sun Ave Philadelphia PA 19111-5645 | |
| (215) 742-4999 | |
| (267) 388-8882 |
| Full Name | Dr Elayne Smithen Ramos, Dmd, Pc |
|---|---|
| Speciality | Dentist |
| Location | 6227 Rising Sun Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Elayne Smithen Ramos (OWNER) |
| Authorized Official Contact | 2157424999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Elayne Smithen Ramos, Dmd, Pc 6227 Rising Sun Ave Philadelphia PA 19111-5645 Ph: (215) 742-4999 | Dr Elayne Smithen Ramos, Dmd, Pc 6227 Rising Sun Ave Philadelphia PA 19111-5645 Ph: (215) 742-4999 |
| NPI Number | 1053764209 |
|---|---|
| Provider Enumeration Date | 07/22/2016 |
| Last Update Date | 07/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053764209 | NPI | - | NPPES |
| 1026036420010 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS038731 (Pennsylvania) | Primary |
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