Healthcare Provider Details

I. General information

NPI: 1497268452
Provider Name (Legal Business Name): MRS. ARNETT MARIA DAVID
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/13/2017
Last Update Date: 01/31/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BAVARIA DENTAC TRUPPENUEBUNGSPLATZ, GEB. 236 SUEDLAGER ROSE BARRACKS
VILSECK GERMANY
92249
DE

IV. Provider business mailing address

CMR 411 BOX 711
APO AE
09112-0008
US

V. Phone/Fax

Practice location:
  • Phone: 496-371-9464
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: