Provider Demographics
NPI:1194015743
Name:ARANBAYEV, YEFIM (DDS)
Entity Type:Individual
Prefix:DR
First Name:YEFIM
Middle Name:
Last Name:ARANBAYEV
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 1:392 AVON RD
Mailing Address - Street 2:
Mailing Address - City:UPPER DARBY
Mailing Address - State:PA
Mailing Address - Zip Code:19082-4702
Mailing Address - Country:US
Mailing Address - Phone:610-352-0500
Mailing Address - Fax:
Practice Address - Street 1:392 AVON RD
Practice Address - Street 2:
Practice Address - City:UPPER DARBY
Practice Address - State:PA
Practice Address - Zip Code:19082-4702
Practice Address - Country:US
Practice Address - Phone:610-352-0500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-17
Last Update Date:2012-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS038565122300000X
NY50 055891122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist