Provider Demographics
NPI:1033782933
Name:ARREOLA, DAYANA (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAYANA
Middle Name:
Last Name:ARREOLA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:445 LINDY WAY
Mailing Address - Street 2:
Mailing Address - City:TOOELE
Mailing Address - State:UT
Mailing Address - Zip Code:84074-8983
Mailing Address - Country:US
Mailing Address - Phone:435-840-8616
Mailing Address - Fax:
Practice Address - Street 1:836 S ANGEL ST STE 100
Practice Address - Street 2:
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84041-3687
Practice Address - Country:US
Practice Address - Phone:801-544-9777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-20
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.002048001223G0001X
UT787812-99221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice