Healthcare Provider Details

I. General information

NPI: 1902455884
Provider Name (Legal Business Name): AILEEN ARCE DDS INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2019
Last Update Date: 04/20/2023
Certification Date: 04/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 F ST STE 140
CHULA VISTA CA
91910-2632
US

IV. Provider business mailing address

345 F ST STE 140
CHULA VISTA CA
91910-2632
US

V. Phone/Fax

Practice location:
  • Phone: 619-240-3829
  • Fax:
Mailing address:
  • Phone: 619-240-3829
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License Number
License Number State

VIII. Authorized Official

Name: MRS. DANIELA BUTLER
Title or Position: OFFICE MANAGER
Credential:
Phone: 619-301-1260