Provider Demographics
NPI:1710170527
Name:VIANI, HARRY MICHAEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:HARRY
Middle Name:MICHAEL
Last Name:VIANI
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 1:103 SCRIPPS DR
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-6316
Mailing Address - Country:US
Mailing Address - Phone:916-929-4546
Mailing Address - Fax:916-923-7473
Practice Address - Street 1:103 SCRIPPS DR
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-6316
Practice Address - Country:US
Practice Address - Phone:916-929-4546
Practice Address - Fax:916-923-7473
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-24
Last Update Date:2007-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA217741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice