Provider Demographics
NPI:1508900747
Name:ARYAN, ALP (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALP
Middle Name:
Last Name:ARYAN
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 1:221 38TH PL
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90266-3107
Mailing Address - Country:US
Mailing Address - Phone:818-405-7813
Mailing Address - Fax:
Practice Address - Street 1:221 38TH PL
Practice Address - Street 2:
Practice Address - City:MANHATTAN BEACH
Practice Address - State:CA
Practice Address - Zip Code:90266-3107
Practice Address - Country:US
Practice Address - Phone:818-405-7813
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-19
Last Update Date:2015-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52341122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist