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NPI Code Detail

MEDICARE: ELAINE ANNE ARCIAGA

MEDICARE: ELAINE ANNE ARCIAGA
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
1122300000XDentistD012848AZ

General Provider Information

NPI Number : 1417880345
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELAINE ANNE ARCIAGA
Provider Business Mailing Address
First Line : 5345 E HILTON AVE
Second Line :
City : MESA
State : AZ
Zip : 85206-5515
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7777 N 43RD AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85051-5712
Country : US
Telephone Number : 602-888-7844
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2026
Last Update Date : 06/08/2026

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Directions to “ ELAINE ANNE ARCIAGA ” Practice Location

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