Provider Demographics
NPI:1942340211
Name:CARIAGA, ANA M (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANA
Middle Name:M
Last Name:CARIAGA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17595 ALMAHURST ST STE 101-2
Mailing Address - Street 2:
Mailing Address - City:CITY OF INDUSTRY
Mailing Address - State:CA
Mailing Address - Zip Code:91748-9909
Mailing Address - Country:US
Mailing Address - Phone:626-965-7445
Mailing Address - Fax:626-965-7449
Practice Address - Street 1:17595 ALMAHURST ST STE 101-2
Practice Address - Street 2:
Practice Address - City:CITY OF INDUSTRY
Practice Address - State:CA
Practice Address - Zip Code:91748
Practice Address - Country:US
Practice Address - Phone:626-965-7445
Practice Address - Fax:626-965-7449
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2018-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA413651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA431995003OtherTIN