Provider Demographics
NPI:1700057213
Name:RIHANEK, CAROLYN JOY (DDS)
Entity Type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:JOY
Last Name:RIHANEK
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12152 N RANCHO VISTOSO BLVD STE 120
Mailing Address - Street 2:
Mailing Address - City:ORO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85755-1843
Mailing Address - Country:US
Mailing Address - Phone:520-531-8207
Mailing Address - Fax:520-531-8304
Practice Address - Street 1:12152 N RANCHO VISTOSO BLVD STE 120
Practice Address - Street 2:
Practice Address - City:ORO VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85755-1843
Practice Address - Country:US
Practice Address - Phone:520-531-8207
Practice Address - Fax:520-531-8304
Is Sole Proprietor?:No
Enumeration Date:2008-03-13
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD4584122300000X
WADE00008629122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist