MEDICARE: DR. MICHAEL A. ARROW D.M.D.

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
1	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	32945	CA

General Provider Information

NPI Number	:	1134123623
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL A. ARROW D.M.D.

Provider Business Mailing Address
First Line	:	2201 BALFOUR RD
Second Line	:	STE E
City	:	BRENTWOOD
State	:	CA
Zip	:	94513-4927
Country	:	US
Telephone Number	:	925-308-7908
Fax Number	:	925-308-7910

Provider Business Practice Location Address
First Line	:	2201 BALFOUR RD
Second Line	:	STE E
City	:	BRENTWOOD
State	:	CA
Zip	:	94513-4927
Country	:	US
Telephone Number	:	925-308-7908
Fax Number	:	925-308-7910

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	07/08/2007

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