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General NPI Number Information
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NPI Number | 1427207844
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Entity Type | Organization
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Legal Business Name | HENIDE ARIAS, D.D.S.INC
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Dates
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Enumeration Date | 09/10/2008
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Last Update Date | 05/16/2024
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Provider Practice Location Address
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Address Line | 19231 VICTORY BLVD STE 252
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City | RESEDA
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State | CA
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Zip | 91335-6341
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Country | US
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Telephone | 818-881-8940
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Fax | 818-881-3243
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Provider Business Mailing Address
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Address Line | 19231 VICTORY BLVD STE 252
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City | RESEDA
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State | CA
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Zip | 91335-6341
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Country | US
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Telephone | 818-625-1271
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Fax | 818-881-3243
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Authorized Official
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Title or Position | DENTIST
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Name | DR. HENIDE ARIAS
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Credential | D.D.S
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Telephone | 818-625-1271
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 55249
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License Number State | CA
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