Healthcare Provider Details

I. General information

NPI: 1750110078
Provider Name (Legal Business Name): ARLENE MARTINEZ JAUREGUI DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2024
Last Update Date: 08/05/2024
Certification Date: 08/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1790 E MANNING AVE
REEDLEY CA
93654-9467
US

IV. Provider business mailing address

1790 E MANNING AVE
REEDLEY CA
93654-9467
US

V. Phone/Fax

Practice location:
  • Phone: 800-492-4227
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License Number110382
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number110382
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: