| Ramstrum Dental Practice | |
|
643 W Manchester Ave Los Angeles CA 90044-5718 | |
| (323) 753-1411 | |
| (323) 753-3109 |
| Full Name | Ramstrum Dental Practice |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 643 W Manchester Ave, Los Angeles, California |
| Authorized Official Name and Position | Dagmar Johanna Ramstrum (OWNER) |
| Authorized Official Contact | 3237531411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ramstrum Dental Practice 643 W Manchester Ave Los Angeles CA 90044-5718 Ph: (323) 753-1411 | Ramstrum Dental Practice 643 W Manchester Ave Los Angeles CA 90044-5718 Ph: (323) 753-1411 |
| NPI Number | 1386791895 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386791895 | NPI | - | NPPES |
| 23134 | Other | CA | DENTI-CAL ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 23134 (California) | Primary |
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