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NPI 1164094793

NPI 1164094793 : ELIZABETH ARREGUIN DDS : MODESTO, CA

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General NPI Number Information
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    NPI Number           |    1164094793
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    Entity Type          |    Individual 
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    Provider Name        |    ELIZABETH ARREGUIN DDS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/13/2021
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    Last Update Date     |    07/02/2025
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Provider Practice Location Address
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    Address Line         |    1213 COFFEE RD STE G 
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    City                 |    MODESTO
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    State                |    CA
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    Zip                  |    95355-4229
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    Country              |    US
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    Telephone            |    209-575-9501
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2550 E TUOLUMNE RD 
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    City                 |    TURLOCK
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    State                |    CA
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    Zip                  |    95382-8119
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    Country              |    US
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    Telephone            |    209-494-8335
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    106317
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    License Number State |    CA
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