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NPI Code Detail

MEDICARE: ALEJANDRO ARANGO DDS

MEDICARE:   ALEJANDRO  ARANGO  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
11223S0112XOral and Maxillofacial Surgery (Dentist)2901601665MI
2204E00000XOral & Maxillofacial Surgery (D.M.D.)18375WI
31223S0112XOral and Maxillofacial Surgery (Dentist)36093TX
4204E00000XOral & Maxillofacial Surgery (D.M.D.)DL13260MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12901601665OTHERMIDENTAL LICENSE

General Provider Information

NPI Number : 1700267408
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEJANDRO ARANGO DDS
Provider Business Mailing Address
First Line : 1823 FORT ST
Second Line :
City : WYANDOTTE
State : MI
Zip : 48192-3545
Country : US
Telephone Number : 734-285-2550
Fax Number : 734-285-5375
Provider Business Practice Location Address
First Line : 1823 FORT ST
Second Line :
City : WYANDOTTE
State : MI
Zip : 48192-3545
Country : US
Telephone Number : 734-285-2550
Fax Number : 734-285-5375
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2015
Last Update Date : 03/13/2026

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Directions to “ ALEJANDRO ARANGO DDS” Practice Location

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