Provider Demographics
NPI:1073730289
Name:TERLET, ARIANE R (DDS)
Entity Type:Individual
Prefix:DR
First Name:ARIANE
Middle Name:R
Last Name:TERLET
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 1:2999 REGENT ST STE 525
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94705-2120
Mailing Address - Country:US
Mailing Address - Phone:510-548-4084
Mailing Address - Fax:510-848-6820
Practice Address - Street 1:2999 REGENT ST STE 525
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94705-2120
Practice Address - Country:US
Practice Address - Phone:510-548-4084
Practice Address - Fax:510-848-6820
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34780122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist