Individual provider · NPI-1

Dr. Tania Lilianna Aceves, DDS

Dentist, General Practice · Riverside, CA

NPI number1205403490
StatusActive
Last updated in NPPESAug 13, 2022

Details

NPI
1205403490
Entity type
Individual (NPI-1)
Name
Dr. Tania Lilianna Aceves
Credential
DDS
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 7, 2021
Certification date
Aug 13, 2022
Last updated
Aug 13, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General PracticeDDS107596CAYes
390200000X Student in an Organized Health Care Education/Training Program–CA

Practice location

20465 Avenida Hacienda
Riverside, CA 92508-2415

Phone 951-205-9073

Mailing address

20465 Avenida Hacienda
Riverside, CA 92508-2415

Phone 951-205-9073

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