Provider Demographics
NPI:1033817630
Name:ARIA DENTAL IMPLANT CENTER
Entity Type:Organization
Organization Name:ARIA DENTAL IMPLANT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:DONELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUMARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-748-1345
Mailing Address - Street 1:12320 N 32ND ST STE 2
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-7154
Mailing Address - Country:US
Mailing Address - Phone:623-748-1345
Mailing Address - Fax:623-547-5384
Practice Address - Street 1:12320 N 32ND ST STE 2
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-7154
Practice Address - Country:US
Practice Address - Phone:623-748-1345
Practice Address - Fax:623-547-5384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-22
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental