Provider Demographics
NPI:1003981564
Name:DEL MAR DENTAL CARE P.C.
Entity Type:Organization
Organization Name:DEL MAR DENTAL CARE P.C.
Other - Org Name:H. ARTHUR MISSIRLIAN D.D.S. AND ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:H. ARTHUR
Authorized Official - Middle Name:
Authorized Official - Last Name:MISSIRLIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:970-218-2187
Mailing Address - Street 1:551 GLOVER AVE
Mailing Address - Street 2:
Mailing Address - City:ENTERPRISE
Mailing Address - State:AL
Mailing Address - Zip Code:36330-2041
Mailing Address - Country:US
Mailing Address - Phone:970-218-2187
Mailing Address - Fax:334-347-1101
Practice Address - Street 1:551 GLOVER AVE
Practice Address - Street 2:
Practice Address - City:ENTERPRISE
Practice Address - State:AL
Practice Address - Zip Code:36330-2041
Practice Address - Country:US
Practice Address - Phone:970-218-2187
Practice Address - Fax:334-347-1101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2015-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL6161122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty