Ronald G Deriana DDS Pllc

NPI #1043685357 in Tucson, Arizona

Provider Information

NPI Number: 1043685357
Entity Type: Organization
Organization Name: Ronald G Deriana DDS Pllc
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Dec 11, 2015
Last Updated: Dec 11, 2015

Practice Location

Address: 1607 W INA RD
City: Tucson
State: Arizona
ZIP Code: 85704-1979
Phone: (520) 742-2167

Authorized Official

Name: DR. RONALD GEORGE DERIANA, DDS
Title: MEMBER/DENTIST
Phone: (520) 742-2167

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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