Healthcare Provider Details

I. General information

NPI: 1447182480
Provider Name (Legal Business Name): MARIA F PARRA COLMENTER DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3617 MERRILL AVE APT 324
RIVERSIDE CA
92506-2539
US

IV. Provider business mailing address

3617 MERRILL AVE APT 324
RIVERSIDE CA
92506-2539
US

V. Phone/Fax

Practice location:
  • Phone: 312-646-9845
  • Fax:
Mailing address:
  • Phone: 312-646-9845
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number113020
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: