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ROBERTA U. RAMS D.D.S.
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1780776682
Individual Registrant: ROBERTA U. RAMS D.D.S.
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
46900 OCEAN DR GUALALA, CA 95445-8353 US
Tel: 707-884-4005 Fax: 707-884-9728
Tel: 707-884-4005 Fax: 707-884-9728
Contact information for business:
PO BOX 1100 GUALALA, CA 95445-1100 US
Tel: 707-884-4005 Fax: 707-884-9728
Tel: 707-884-4005 Fax: 707-884-9728
Registration Information:
NPI: 1780776682
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223G0001X | Dental Providers Dentist General Practice | CA | 40387 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| FHC03906F | CA | 05 |
