Provider Demographics
NPI:1003994336
Name:PONCE, YONE VIRGINIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:YONE
Middle Name:VIRGINIA
Last Name:PONCE
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 1:1601 N TUCSON BLVD STE 8
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85716-3404
Mailing Address - Country:US
Mailing Address - Phone:520-326-1101
Mailing Address - Fax:520-326-2556
Practice Address - Street 1:1601 N TUCSON BLVD STE 8
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716-3404
Practice Address - Country:US
Practice Address - Phone:520-326-1101
Practice Address - Fax:520-326-2556
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2014-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD 41071223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics