Provider Demographics
NPI:1982721460
Name:RONDON, AARON CHRISTOPHER (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:CHRISTOPHER
Last Name:RONDON
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 W ROBINHOOD DR
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95207-5604
Mailing Address - Country:US
Mailing Address - Phone:209-473-8700
Mailing Address - Fax:209-473-4548
Practice Address - Street 1:1002 W ROBINHOOD DR
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95207-5604
Practice Address - Country:US
Practice Address - Phone:209-473-8700
Practice Address - Fax:209-473-4548
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA464271223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics