MEDICARE: GILBERT ARIAS DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	32944	CA

General Provider Information

NPI Number	:	1659405694
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GILBERT ARIAS DDS

Provider Business Mailing Address
First Line	:	3180 COLLINS DR STE B
Second Line	:
City	:	MERCED
State	:	CA
Zip	:	95348-3132
Country	:	US
Telephone Number	:	209-722-9093
Fax Number	:	209-722-5207

Provider Business Practice Location Address
First Line	:	3180 COLLINS DR STE B
Second Line	:
City	:	MERCED
State	:	CA
Zip	:	95348-3132
Country	:	US
Telephone Number	:	209-722-9093
Fax Number	:	209-722-5207

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2007
Last Update Date	:	07/08/2007

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