Provider Demographics
NPI:1306516455
Name:RAMUNDO, CATHERINE MARIE (DDS)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:MARIE
Last Name:RAMUNDO
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 1:4509 AUGUSTA AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-3723
Mailing Address - Country:US
Mailing Address - Phone:469-667-8854
Mailing Address - Fax:
Practice Address - Street 1:4509 AUGUSTA AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-3723
Practice Address - Country:US
Practice Address - Phone:469-667-8854
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-20
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014176931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice