Provider Demographics
NPI:1932274271
Name:RIANO-ASIAIN, CHARITO (DMD)
Entity Type:Individual
Prefix:DR
First Name:CHARITO
Middle Name:
Last Name:RIANO-ASIAIN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAB448231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice