Henide Arias, D.d.s.inc | |
19231 Victory Blvd Ste 252 Reseda CA 91335-6341 | |
(818) 881-8940 | |
(818) 881-3243 |
Full Name | Henide Arias, D.d.s.inc |
---|---|
Speciality | Dentist |
Location | 19231 Victory Blvd Ste 252, Reseda, California |
Authorized Official Name and Position | Henide Arias (DENTIST) |
Authorized Official Contact | 8186251271 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Henide Arias, D.d.s.inc 19231 Victory Blvd Ste 252 Reseda CA 91335-6341 Ph: (818) 625-1271 | Henide Arias, D.d.s.inc 19231 Victory Blvd Ste 252 Reseda CA 91335-6341 Ph: (818) 881-8940 |
NPI Number | 1427207844 |
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Provider Enumeration Date | 09/10/2008 |
Last Update Date | 05/16/2024 |
Medicare PECOS PAC ID | 4385929199 |
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Medicare Enrollment ID | O20170317000910 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427207844 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 55249 (California) | Primary |
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
Provider Name | Henide Arias |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1790850527 PECOS PAC ID: 2567754997 Enrollment ID: I20170317001001 |
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