Healthcare Provider Details

I. General information

NPI: 1215744800
Provider Name (Legal Business Name): AMANDA ORONOZ DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2024
Last Update Date: 12/17/2024
Certification Date: 12/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8990 GARFIELD ST
RIVERSIDE CA
92503-3926
US

IV. Provider business mailing address

8990 GARFIELD ST
RIVERSIDE CA
92503-3926
US

V. Phone/Fax

Practice location:
  • Phone: 951-777-2825
  • Fax:
Mailing address:
  • Phone: 951-777-2825
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDDS110905
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: