Provider Demographics
NPI:1427245117
Name:RAMISCAL, ELISEO (DMD)
Entity type:Individual
Prefix:DR
First Name:ELISEO
Middle Name:
Last Name:RAMISCAL
Suffix:
Gender:
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:438 LEAH NAOMI DR
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92882-6968
Mailing Address - Country:US
Mailing Address - Phone:949-701-5312
Mailing Address - Fax:
Practice Address - Street 1:438 LEAH NAOMI DR
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92882-6968
Practice Address - Country:US
Practice Address - Phone:949-701-5312
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-26
Last Update Date:2025-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA56304122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist