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NPI Code Detail

MEDICARE: ANDREA BELEN ARRIAGA

MEDICARE: ANDREA BELEN ARRIAGA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistDDS111186CA

General Provider Information

NPI Number : 1073320222
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA BELEN ARRIAGA
Provider Business Mailing Address
First Line : 2507 SOLANO RD
Second Line :
City : PISMO BEACH
State : CA
Zip : 93449-1750
Country : US
Telephone Number : 858-829-8559
Fax Number :
Provider Business Practice Location Address
First Line : 3870 BROAD ST STE 1
Second Line :
City : SAN LUIS OBISPO
State : CA
Zip : 93401-7172
Country : US
Telephone Number : 805-309-0467
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2024
Last Update Date : 01/21/2025

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Directions to “ ANDREA BELEN ARRIAGA ” Practice Location

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