Provider Demographics
NPI:1427207844
Name:HENIDE ARIAS, D.D.S.INC
Entity Type:Organization
Organization Name:HENIDE ARIAS, D.D.S.INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HENIDE
Authorized Official - Middle Name:
Authorized Official - Last Name:ARIAS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-625-1271
Mailing Address - Street 1:19231 VICTORY BLVD STE 252
Mailing Address - Street 2:
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-6341
Mailing Address - Country:US
Mailing Address - Phone:818-625-1271
Mailing Address - Fax:818-881-3243
Practice Address - Street 1:19231 VICTORY BLVD STE 252
Practice Address - Street 2:
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-6341
Practice Address - Country:US
Practice Address - Phone:818-625-1271
Practice Address - Fax:818-881-3243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-10
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA55249122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty