Provider Demographics
NPI:1164574109
Name:ARIAS, OSCAR RAMIRO (DDS)
Entity Type:Individual
Prefix:DR
First Name:OSCAR
Middle Name:RAMIRO
Last Name:ARIAS
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 1:46100 RUBIDOUX ST STE C1
Mailing Address - Street 2:
Mailing Address - City:INDIO
Mailing Address - State:CA
Mailing Address - Zip Code:92201-5735
Mailing Address - Country:US
Mailing Address - Phone:760-775-3368
Mailing Address - Fax:760-775-5090
Practice Address - Street 1:46100 RUBIDOUX ST STE C1
Practice Address - Street 2:
Practice Address - City:INDIO
Practice Address - State:CA
Practice Address - Zip Code:92201
Practice Address - Country:US
Practice Address - Phone:760-775-3368
Practice Address - Fax:760-775-5090
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2018-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA525791223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist