Provider Demographics
NPI:1508071648
Name:ARNOUK, ANDREW G (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:G
Last Name:ARNOUK
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:379 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-4155
Mailing Address - Country:US
Mailing Address - Phone:301-725-4118
Mailing Address - Fax:410-792-8682
Practice Address - Street 1:379 MAIN ST
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-4155
Practice Address - Country:US
Practice Address - Phone:301-725-4118
Practice Address - Fax:410-792-8682
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD12290122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist