Provider Demographics
NPI:1235548769
Name:ARANBAYEV, VALERIY (DDS)
Entity Type:Individual
Prefix:DR
First Name:VALERIY
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 1:9840 57TH AVE APT 14M
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:NY
Mailing Address - Zip Code:11368-3647
Mailing Address - Country:US
Mailing Address - Phone:917-892-6513
Mailing Address - Fax:
Practice Address - Street 1:9840 57TH AVE APT 14M
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:NY
Practice Address - Zip Code:11368-3647
Practice Address - Country:US
Practice Address - Phone:917-892-6513
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-08
Last Update Date:2014-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY50057485122300000X
CT11213122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist