Provider Demographics
NPI:1477088581
Name:ARAMBURU, MIGUEL (DDS)
Entity Type:Individual
Prefix:
First Name:MIGUEL
Middle Name:
Last Name:ARAMBURU
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 1:2601 W BALL RD STE 101
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92804-8016
Mailing Address - Country:US
Mailing Address - Phone:657-298-3476
Mailing Address - Fax:657-298-3476
Practice Address - Street 1:2601 W BALL RD STE 101
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804-8016
Practice Address - Country:US
Practice Address - Phone:657-298-3476
Practice Address - Fax:657-298-3476
Is Sole Proprietor?:No
Enumeration Date:2017-04-26
Last Update Date:2019-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA579511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice