Provider Demographics
NPI:1598947681
Name:TRANSITO, NICOLAS (DDS)
Entity Type:Individual
Prefix:DR
First Name:NICOLAS
Middle Name:
Last Name:TRANSITO
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 1:7983 OLEANDER AVE
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92336-2430
Mailing Address - Country:US
Mailing Address - Phone:909-428-3625
Mailing Address - Fax:
Practice Address - Street 1:77 E 7TH ST
Practice Address - Street 2:SUITE C
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-6601
Practice Address - Country:US
Practice Address - Phone:310-241-7576
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-29
Last Update Date:2015-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA565841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice