Provider Demographics
NPI:1083205272
Name:ARO AL KHALIL DENTAL PARTNERSHIP
Entity Type:Organization
Organization Name:ARO AL KHALIL DENTAL PARTNERSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:GHASSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ARO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:805-922-5122
Mailing Address - Street 1:1846 N BROADWAY STE B
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93454-1447
Mailing Address - Country:US
Mailing Address - Phone:805-922-5122
Mailing Address - Fax:805-922-5333
Practice Address - Street 1:1846 N BROADWAY STE B
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-1447
Practice Address - Country:US
Practice Address - Phone:805-922-5122
Practice Address - Fax:805-922-5333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-29
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty