Provider Demographics
NPI:1225354343
Name:ARIAEE, DEAN F (DDS)
Entity Type:Individual
Prefix:
First Name:DEAN
Middle Name:F
Last Name:ARIAEE
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 1:113 WATERWORKS WAY
Mailing Address - Street 2:310
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-3167
Mailing Address - Country:US
Mailing Address - Phone:949-558-7988
Mailing Address - Fax:949-786-6591
Practice Address - Street 1:113 WATERWORKS WAY
Practice Address - Street 2:310
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-3167
Practice Address - Country:US
Practice Address - Phone:949-558-7988
Practice Address - Fax:949-786-6591
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-14
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA407841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAB40784OtherCAL OPTIMA
CAB4078401OtherDENTICAL