Provider Demographics
NPI:1649523499
Name:RAMOS, ERROL BRENT N (DMD)
Entity type:Individual
Prefix:
First Name:ERROL BRENT
Middle Name:N
Last Name:RAMOS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20645 E CLIMBER DR
Mailing Address - Street 2:
Mailing Address - City:DIAMOND BAR
Mailing Address - State:CA
Mailing Address - Zip Code:91789-3855
Mailing Address - Country:US
Mailing Address - Phone:909-967-4121
Mailing Address - Fax:
Practice Address - Street 1:11405 FIRESTONE BLVD STE F
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CA
Practice Address - Zip Code:90650-2872
Practice Address - Country:US
Practice Address - Phone:562-868-6133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-17
Last Update Date:2015-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA62725122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist