Provider Demographics
NPI:1376216267
Name:BECHAY, ARSANY RAOUF (DDS)
Entity Type:Individual
Prefix:DR
First Name:ARSANY
Middle Name:RAOUF
Last Name:BECHAY
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 1:1630 W HOUSTON AVE
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92833-4504
Mailing Address - Country:US
Mailing Address - Phone:562-338-1780
Mailing Address - Fax:
Practice Address - Street 1:1630 W HOUSTON AVE
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92833-4504
Practice Address - Country:US
Practice Address - Phone:562-338-1780
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-27
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106728122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist