Regina D Minutello in Riverside - Periodontics
Regina D Minutello - NPI 1104048909
Regina D Minutello is a Periodontics in Riverside, California. Regina D Minutello practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Regina D Minutello is 1104048909. The last update date is 2007-07-08.
Regina D Minutello's current location address is 16574 Brightridge Ln, Riverside, California. You can contact this provider via phone number 9513591472 and fax number 9512797422. The mailing address for Regina D Minutello is 16574 Brightridge Ln, Riverside, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Regina D Minutello |
|---|---|
| Address | 16574 Brightridge Ln, Riverside, California |
| Phone Number | 9513591472 |
| Fax Number | 9512797422 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1104048909 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 16574 Brightridge Ln |
|---|---|
| City | Riverside |
| State | California (CA) |
| Post Code | 925039702 |
| Phone Number | 9513591472 |
| Fax Number | 9512797422 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 36076 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the unique 10-digit identification code issued to Regina D Minutello by the Centers for Medicare & Medicaid Services?
The Regina D Minutello has been assigned the NPI (National Provider Identifier) 1104048909 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Regina D Minutello's facilities are geographically located?
The facilities of Regina D Minutello are physically situated at the following location: 16574 Brightridge Ln, Riverside, CA, 925039702.
What is Regina D Minutello's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Regina D Minutello is Periodontics, and the corresponding taxonomy classification code for this specialized field is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1104048909 to Regina D Minutello?
The Centers for Medicare & Medicaid Services originally issued the 1104048909 to Regina D Minutello on 2007-05-02.
When was the information regarding Regina D Minutello most recently updated?
The details pertaining to the Regina D Minutello, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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