Provider Demographics
NPI:1730174533
Name:VETO, RONALD JOHN (DMD)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:JOHN
Last Name:VETO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5100 E HIGHWAY 90
Mailing Address - Street 2:SUITE A
Mailing Address - City:SIERRA VISTA
Mailing Address - State:AZ
Mailing Address - Zip Code:85635-2443
Mailing Address - Country:US
Mailing Address - Phone:520-458-4334
Mailing Address - Fax:
Practice Address - Street 1:5100 E HIGHWAY 90
Practice Address - Street 2:SUITE A
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85635-2443
Practice Address - Country:US
Practice Address - Phone:520-458-4334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-19
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ49921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice