Rancho Dental Office in Rialto - Dental
Rancho Dental Office - NPI 1750576096
Rancho Dental Office is a Dental in Rialto, California. Rancho Dental Office practices all healthcare services and medical treatments related to Dental. The NPI Number for Rancho Dental Office is 1750576096. The last update date is 2007-09-10.
Rancho Dental Office's current location address is 2010 N Riverside Ave, Rialto, California. You can contact this provider via phone number 9094211555 and fax number 9094211865. The mailing address for Rancho Dental Office is 2010 N Riverside Ave, Rialto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Rancho Dental Office |
|---|---|
| Address | 2010 N Riverside Ave, Rialto, California |
| Phone Number | 9094211555 |
| Fax Number | 9094211865 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Villarroel J Fernando |
| Credentials | DDS |
| Telephone Number | 9094211555 |
NPI Number Detail
| NPI Number | 1750576096 |
|---|---|
| Provider Enumeration Date | 2007-09-10 |
| Last Updated Date | 2007-09-10 |
Provider Mailing Address Detail
| Address | 2010 N Riverside Ave |
|---|---|
| City | Rialto |
| State | California (CA) |
| Post Code | 923774652 |
| Phone Number | 9094211555 |
| Fax Number | 9094211865 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | 44377 |
|
Definition: Provides general and specialized dental care and oral surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| G93878-01 | CA | DENTICAL |
Post Comment/ Review Below
What is the Rancho Dental Office's 1750576096?
The Rancho Dental Office's NPI (National Provider Identifier) Number is 1750576096. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Rancho Dental Office is physically located?
The Rancho Dental Office is situated at the following address: 2010 N Riverside Ave, Rialto, CA 923774652.
What is the Rancho Dental Office's area of specialization and corresponding taxonomy classification?
The Rancho Dental Office's specialty field is Dental, and it falls under the taxonomy code 261Qd0000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1750576096 to Rancho Dental Office?
The Rancho Dental Office received its 1750576096 assignment from the Centers for Medicare & Medicaid Services on 2007-09-10.
As of what date was the information pertaining to Rancho Dental Office, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Rancho Dental Office, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-09-10.