Provider Demographics
NPI:1417005950
Name:ASK, RONNEY MIHRAN (DDS)
Entity Type:Individual
Prefix:
First Name:RONNEY
Middle Name:MIHRAN
Last Name:ASK
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:RON
Other - Middle Name:MIHRAN
Other - Last Name:ASK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:15333 STATE HIGHWAY 88
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:CA
Mailing Address - Zip Code:95642-9733
Mailing Address - Country:US
Mailing Address - Phone:209-223-2096
Mailing Address - Fax:
Practice Address - Street 1:100 FRENCH BAR RD STE 101
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:CA
Practice Address - Zip Code:95642-2557
Practice Address - Country:US
Practice Address - Phone:209-223-2712
Practice Address - Fax:209-223-2719
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA269491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice