Provider Demographics
NPI:1124577473
Name:ARILL, SANDRA (CRDH)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:
Last Name:ARILL
Suffix:
Gender:F
Credentials:CRDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4468 POST AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-3034
Mailing Address - Country:US
Mailing Address - Phone:305-389-6027
Mailing Address - Fax:
Practice Address - Street 1:504 BILTMORE WAY
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-5720
Practice Address - Country:US
Practice Address - Phone:305-446-1584
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-28
Last Update Date:2016-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDH8037124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL12OtherDENTISTRY