Provider Demographics
NPI:1245470111
Name:JOCELYN RIEL DMD
Entity type:Organization
Organization Name:JOCELYN RIEL DMD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOCELYN
Authorized Official - Middle Name:DELLOSA
Authorized Official - Last Name:RIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-581-1260
Mailing Address - Street 1:1320 APPLE AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94541-1552
Mailing Address - Country:US
Mailing Address - Phone:510-581-1260
Mailing Address - Fax:510-581-5376
Practice Address - Street 1:1320 APPLE AVE STE 202
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94541-1552
Practice Address - Country:US
Practice Address - Phone:510-581-1260
Practice Address - Fax:510-581-5376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-04
Last Update Date:2009-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty