Provider Demographics
NPI:1164876900
Name:ARABATYAN, GARY (DDS)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:
Last Name:ARABATYAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 SUTTER ST RM 1233
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94108-4000
Mailing Address - Country:US
Mailing Address - Phone:415-986-6223
Mailing Address - Fax:415-986-6237
Practice Address - Street 1:450 SUTTER ST RM 1233
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94108-4000
Practice Address - Country:US
Practice Address - Phone:415-986-6223
Practice Address - Fax:415-986-6237
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-18
Last Update Date:2016-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA51892122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist