MEDICARE: DR. NESTER OSWALD ARELLANO DDS

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	122300000X	Dentist	18010	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538259692
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NESTER OSWALD ARELLANO DDS

Provider Business Mailing Address
First Line	:	518 CRESTRIDGE DR
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-5158
Country	:	US
Telephone Number	:	281-565-3684
Fax Number	:	713-221-1765

Provider Business Practice Location Address
First Line	:	3303 N MAIN ST
Second Line	:	SUITE 1
City	:	HOUSTON
State	:	TX
Zip	:	77009-5637
Country	:	US
Telephone Number	:	713-221-1761
Fax Number	:	713-221-1765

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

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	07/08/2007

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