Provider Demographics
NPI:1346889672
Name:ARIA DENTAL CLINIC
Entity Type:Organization
Organization Name:ARIA DENTAL CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:HOSSEIN
Authorized Official - Last Name:RANJBARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-513-8944
Mailing Address - Street 1:2914 HIGHWAY AVE
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:IN
Mailing Address - Zip Code:46322-1656
Mailing Address - Country:US
Mailing Address - Phone:219-513-8944
Mailing Address - Fax:219-513-9291
Practice Address - Street 1:2914 HIGHWAY AVE
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:IN
Practice Address - Zip Code:46322-1656
Practice Address - Country:US
Practice Address - Phone:219-513-8944
Practice Address - Fax:219-513-9291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-03
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty