MEDICARE: MARTHA ARANDA D.D.S

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	1223P0221X	Pediatric Dentistry	16474	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	825211	OTHER	TX	INDIVIDUAL IDENTIFIER

General Provider Information

NPI Number	:	1598819310
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTHA ARANDA D.D.S

Provider Business Mailing Address
First Line	:	10905 WURZBACH RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78230-2501
Country	:	US
Telephone Number	:	210-690-5252
Fax Number	:	210-690-3889

Provider Business Practice Location Address
First Line	:	10905 WURZBACH RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78230-2501
Country	:	US
Telephone Number	:	210-690-5252
Fax Number	:	210-690-3889

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

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	07/09/2007

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Directions to “ MARTHA ARANDA D.D.S” Practice Location

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