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General NPI Number Information
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NPI Number | 1093836504
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Entity Type | Organization
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Legal Business Name | GLENN Y ARIMA DDS INC
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3551 FARQUHAR AVE 204
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City | LOS ALAMITOS
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State | CA
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Zip | 90720-2003
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Country | US
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Telephone | 562-598-3383
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Fax | 562-936-1153
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Provider Business Mailing Address
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Address Line | 3551 FARQUHAR AVE 204
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City | LOS ALAMITOS
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State | CA
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Zip | 90720-2003
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Country | US
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Telephone | 562-598-3383
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Fax | 562-936-1153
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Authorized Official
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Title or Position | OWNER
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Name | DR. GLENN Y ARIMA
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Credential | DDS
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Telephone | 562-598-3383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 28423
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License Number State | CA
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