Provider Demographics
NPI:1407562069
Name:AMANDA L. ARNDT DDS, INC
Entity Type:Organization
Organization Name:AMANDA L. ARNDT DDS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/ OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:ARNDT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:714-544-5070
Mailing Address - Street 1:28441 BRANDON DR
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-1449
Mailing Address - Country:US
Mailing Address - Phone:818-359-2714
Mailing Address - Fax:
Practice Address - Street 1:12805 NEWPORT AVE
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-2711
Practice Address - Country:US
Practice Address - Phone:714-544-5070
Practice Address - Fax:714-544-5071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-26
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty