Provider Demographics
NPI:1144774787
Name:ORIOLA, EUGENE MICHAEL (DDS)
Entity type:Individual
Prefix:DR
First Name:EUGENE MICHAEL
Middle Name:
Last Name:ORIOLA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26522 AVENIDA DE LA PAZ
Mailing Address - Street 2:
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92555-4242
Mailing Address - Country:US
Mailing Address - Phone:951-323-4757
Mailing Address - Fax:
Practice Address - Street 1:23025 ATLANTIC CIR
Practice Address - Street 2:SUITE B
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92553-5909
Practice Address - Country:US
Practice Address - Phone:951-323-4757
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-11
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA100562122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist