Provider Demographics
NPI:1407894678
Name:CARRANZA, URIEL (DDS)
Entity Type:Individual
Prefix:
First Name:URIEL
Middle Name:
Last Name:CARRANZA
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 1:6023 FLORIN RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823-2494
Mailing Address - Country:US
Mailing Address - Phone:916-399-5550
Mailing Address - Fax:916-399-5553
Practice Address - Street 1:6023 FLORIN RD
Practice Address - Street 2:SUITE 100
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-2494
Practice Address - Country:US
Practice Address - Phone:916-399-5550
Practice Address - Fax:916-399-5553
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-02
Last Update Date:2012-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5293122300000X
CA54083122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist