Provider Demographics
NPI:1245349117
Name:CITRANO, RONALD (DDS)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:
Last Name:CITRANO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:RONALD
Other - Middle Name:
Other - Last Name:CITRANO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:1490 WELLINGTON CIR
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77706-3245
Mailing Address - Country:US
Mailing Address - Phone:409-835-9846
Mailing Address - Fax:409-835-9847
Practice Address - Street 1:1490 WELLINGTON CIR
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77706-3245
Practice Address - Country:US
Practice Address - Phone:409-835-9846
Practice Address - Fax:409-835-9847
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14294122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist