Provider Demographics
NPI:1255417788
Name:SHARON L. YAKEL RONCONE, DDS, INC.
Entity type:Organization
Organization Name:SHARON L. YAKEL RONCONE, DDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:L YAKEL
Authorized Official - Last Name:RONCONE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:760-720-9510
Mailing Address - Street 1:3144 EL CAMINO REAL
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-2194
Mailing Address - Country:US
Mailing Address - Phone:760-720-9510
Mailing Address - Fax:760-720-9536
Practice Address - Street 1:3144 EL CAMINO REAL
Practice Address - Street 2:SUITE 101
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-2194
Practice Address - Country:US
Practice Address - Phone:760-720-9510
Practice Address - Fax:760-720-9536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36397122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty