Provider Demographics
NPI:1609318930
Name:BARRIOS, YOLANDA (DDS)
Entity Type:Individual
Prefix:
First Name:YOLANDA
Middle Name:
Last Name:BARRIOS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:YOLANDA
Other - Middle Name:
Other - Last Name:BARRIOS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:4275 EXECUTIVE SQ
Mailing Address - Street 2:STE 200
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-9123
Mailing Address - Country:US
Mailing Address - Phone:800-743-3900
Mailing Address - Fax:866-272-6924
Practice Address - Street 1:JOSE CLEMENTE OROZCO 2340
Practice Address - Street 2:STE 302
Practice Address - City:TIJUANA
Practice Address - State:BAJA CALIFORNIA
Practice Address - Zip Code:22010
Practice Address - Country:MX
Practice Address - Phone:664-634-3181
Practice Address - Fax:866-272-6924
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-17
Last Update Date:2016-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ1148037122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist