Provider Demographics
NPI:1881030062
Name:FIELDS, KRISTEN ARAYNA (DDS)
Entity Type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:ARAYNA
Last Name:FIELDS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8782 REDCLIFF PL
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92508-3290
Mailing Address - Country:US
Mailing Address - Phone:310-720-9775
Mailing Address - Fax:
Practice Address - Street 1:8782 REDCLIFF PL
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92508-3290
Practice Address - Country:US
Practice Address - Phone:310-720-9775
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-15
Last Update Date:2020-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA62263122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist