Provider Demographics
NPI:1578440483
Name:RAMOS, CAMILLE ADELINE (DDS)
Entity type:Individual
Prefix:DR
First Name:CAMILLE
Middle Name:ADELINE
Last Name:RAMOS
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 1:5172 ACADEMY RD
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94521-4547
Mailing Address - Country:US
Mailing Address - Phone:925-890-4744
Mailing Address - Fax:
Practice Address - Street 1:2525 MERCED ST # A
Practice Address - Street 2:
Practice Address - City:SAN LEANDRO
Practice Address - State:CA
Practice Address - Zip Code:94577-4212
Practice Address - Country:US
Practice Address - Phone:510-940-7997
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADDS1114561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice