Provider Demographics
NPI:1346844321
Name:ARAB, ARASH (DDS)
Entity Type:Individual
Prefix:DR
First Name:ARASH
Middle Name:
Last Name:ARAB
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 1:519 LEGENDS RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37069-4660
Mailing Address - Country:US
Mailing Address - Phone:615-573-0231
Mailing Address - Fax:
Practice Address - Street 1:240 DESERT PASS ST STE A
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-3614
Practice Address - Country:US
Practice Address - Phone:915-933-1800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX368901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty