Provider Demographics
NPI:1063156958
Name:HERNANDEZ RAMIREZ, MARIA PIEDAD (DDS)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:PIEDAD
Last Name:HERNANDEZ RAMIREZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13693 DESERT RDG
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92883-6627
Mailing Address - Country:US
Mailing Address - Phone:951-710-7859
Mailing Address - Fax:
Practice Address - Street 1:2010 E 1ST ST STE 250
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-4083
Practice Address - Country:US
Practice Address - Phone:714-558-6949
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-26
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1069801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice