Provider Demographics
NPI:1134011075
Name:SEGURA, ARIANNA ROSARIO (DDS)
Entity type:Individual
Prefix:
First Name:ARIANNA
Middle Name:ROSARIO
Last Name:SEGURA
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 1:2464 SUMAC DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92105-4653
Mailing Address - Country:US
Mailing Address - Phone:858-999-6999
Mailing Address - Fax:
Practice Address - Street 1:1455 G ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92101-7434
Practice Address - Country:US
Practice Address - Phone:619-324-4981
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA111358122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist