Provider Demographics
NPI:1700949427
Name:RIOS, MARIA OFFIR (DDS)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:OFFIR
Last Name:RIOS
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 1:6907 BERGENLINE AVE
Mailing Address - Street 2:
Mailing Address - City:GUTTENBERG
Mailing Address - State:NJ
Mailing Address - Zip Code:07093-1809
Mailing Address - Country:US
Mailing Address - Phone:201-662-8686
Mailing Address - Fax:201-662-7144
Practice Address - Street 1:6907 BERGENLINE AVE
Practice Address - Street 2:
Practice Address - City:GUTTENBERG
Practice Address - State:NJ
Practice Address - Zip Code:07093-1809
Practice Address - Country:US
Practice Address - Phone:201-662-8686
Practice Address - Fax:201-662-7144
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI 197461223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice