Healthcare Provider Details

I. General information

NPI: 1861824351
Provider Name (Legal Business Name): DBBIE ARNOLD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2013
Last Update Date: 08/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10620 N 43RD AVE
GLENDALE AZ
85304-4150
US

IV. Provider business mailing address

10620 N 43RD AVE
GLENDALE AZ
85304-4150
US

V. Phone/Fax

Practice location:
  • Phone: 602-973-3690
  • Fax: 602-547-0359
Mailing address:
  • Phone: 602-973-3690
  • Fax: 602-547-0359

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code126800000X
TaxonomyDental Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: