Provider Demographics
NPI:1003054040
Name:ANDALIB, ARVEEN H (DDS)
Entity Type:Individual
Prefix:DR
First Name:ARVEEN
Middle Name:H
Last Name:ANDALIB
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1411 S UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-4043
Mailing Address - Country:US
Mailing Address - Phone:754-701-0386
Mailing Address - Fax:754-484-3478
Practice Address - Street 1:1411 S UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-4043
Practice Address - Country:US
Practice Address - Phone:754-701-0386
Practice Address - Fax:754-484-3478
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-29
Last Update Date:2016-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN18347122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist