| Ronald G Deriana Dds Pllc | |
|
1607 W Ina Rd Tucson AZ 85704-1979 | |
| (520) 742-2167 | |
| (520) 742-2160 |
| Full Name | Ronald G Deriana Dds Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1607 W Ina Rd, Tucson, Arizona |
| Authorized Official Name and Position | Ronald George Deriana (MEMBER/DENTIST) |
| Authorized Official Contact | 5207422167 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald G Deriana Dds Pllc 1607 W Ina Rd Tucson AZ 85704-1979 Ph: (520) 742-2167 | Ronald G Deriana Dds Pllc 1607 W Ina Rd Tucson AZ 85704-1979 Ph: (520) 742-2167 |
| NPI Number | 1043685357 |
|---|---|
| Provider Enumeration Date | 12/11/2015 |
| Last Update Date | 12/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043685357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DO3161 (Arizona) | Primary |
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