Provider Demographics
NPI:1730245218
Name:RIOS, ANA VERONICA (DDS)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:VERONICA
Last Name:RIOS
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 1:111 W HOLT BLVD
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91762-3823
Mailing Address - Country:US
Mailing Address - Phone:909-933-6800
Mailing Address - Fax:909-933-6801
Practice Address - Street 1:111 W HOLT BLVD
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91762-3823
Practice Address - Country:US
Practice Address - Phone:909-933-6800
Practice Address - Fax:909-933-6801
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA459651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice