Provider Demographics
NPI:1497733901
Name:ARIAS, LENNY WILNELIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:LENNY
Middle Name:WILNELIA
Last Name:ARIAS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4955 N. SABINO CANYON RD, STE 103
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85750
Mailing Address - Country:US
Mailing Address - Phone:520-299-5122
Mailing Address - Fax:520-232-9015
Practice Address - Street 1:4955 N SABINO CANYON RD STE 103
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85750-6491
Practice Address - Country:US
Practice Address - Phone:520-299-5122
Practice Address - Fax:520-232-9015
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-04
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD06862122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist