Provider Demographics
NPI:1013357300
Name:ARNOUK DDS INC
Entity Type:Organization
Organization Name:ARNOUK DDS INC
Other - Org Name:FOOTHILL FAMILY DENTAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:REEMA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARNOUK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:626-963-3322
Mailing Address - Street 1:210 S GRAND AVE
Mailing Address - Street 2:SUITE 420
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91741-4205
Mailing Address - Country:US
Mailing Address - Phone:626-963-3322
Mailing Address - Fax:626-963-3399
Practice Address - Street 1:210 S GRAND AVE
Practice Address - Street 2:SUITE 420
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91741-4205
Practice Address - Country:US
Practice Address - Phone:626-963-3322
Practice Address - Fax:626-963-3399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-01
Last Update Date:2013-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA416551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty