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NPI 1922690767

NPI 1922690767 : GUILLERMO ARELLANO, DMD, INC : SACRAMENTO, CA

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General NPI Number Information
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    NPI Number           |    1922690767
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    Entity Type          |    Organization 
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    Legal Business Name  |    GUILLERMO ARELLANO, DMD, INC 
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Dates
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    Enumeration Date     |    02/03/2021
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    Last Update Date     |    02/03/2021
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Provider Practice Location Address
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    Address Line         |    1108 CORPORATE WAY STE 2 
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    City                 |    SACRAMENTO
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    State                |    CA
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    Zip                  |    95831-6119
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    Country              |    US
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    Telephone            |    916-395-5700
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    456 SAILWIND WAY 
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    City                 |    SACRAMENTO
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    State                |    CA
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    Zip                  |    95831-4564
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    Country              |    US
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    Telephone            |    510-427-4578
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DENTIST/OWNER
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    Name                 |    DR. GUILLERMO ARTURO ARELLANO II
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    Credential           |    DMD
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    Telephone            |    510-427-4578
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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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