Provider Demographics
NPI:1336529544
Name:CHARITO RIANO-ASIAIN, DMD, INC
Entity Type:Organization
Organization Name:CHARITO RIANO-ASIAIN, DMD, INC
Other - Org Name:ALAMO PLAZA DENTAL OFFICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARITO
Authorized Official - Middle Name:
Authorized Official - Last Name:RIANO-ASIAIN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:707-469-8188
Mailing Address - Street 1:810 ALAMO DR
Mailing Address - Street 2:
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95688-5313
Mailing Address - Country:US
Mailing Address - Phone:707-469-8188
Mailing Address - Fax:707-469-8189
Practice Address - Street 1:810 ALAMO DR
Practice Address - Street 2:
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95688-5313
Practice Address - Country:US
Practice Address - Phone:707-469-8188
Practice Address - Fax:707-469-8189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-03
Last Update Date:2015-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44823261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental