Provider Demographics
NPI:1437173275
Name:ARRANZA, DANTE JESUS D (MD)
Entity Type:Individual
Prefix:
First Name:DANTE JESUS
Middle Name:D
Last Name:ARRANZA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1402 LAKE TAPPS PKWY E STE 104
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98092-8157
Mailing Address - Country:US
Mailing Address - Phone:253-301-8079
Mailing Address - Fax:
Practice Address - Street 1:1402 LAKE TAPPS PKWY E STE 104
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98092-8157
Practice Address - Country:US
Practice Address - Phone:253-301-8079
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00046360207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine