Provider Demographics
NPI:1275629065
Name:CHIURAZZI, ROBERT D (DDS)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:D
Last Name:CHIURAZZI
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 1:89 PUTNAM WAY
Mailing Address - Street 2:AMPLA HEALTH MEDICAL AND DENTAL CLINIC
Mailing Address - City:ARBUCKLE
Mailing Address - State:CA
Mailing Address - Zip Code:95912
Mailing Address - Country:US
Mailing Address - Phone:530-476-2241
Mailing Address - Fax:530-476-2201
Practice Address - Street 1:89 PUTNAM WAY
Practice Address - Street 2:AMPLA HEALTH MEDICAL AND DENTAL CLINIC
Practice Address - City:ARBUCKLE
Practice Address - State:CA
Practice Address - Zip Code:95912
Practice Address - Country:US
Practice Address - Phone:530-476-2241
Practice Address - Fax:530-476-2201
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32452122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist