Provider Demographics
NPI:1518096973
Name:ARASE, DONNA N (DDS)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:N
Last Name:ARASE
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 1:2601 ROADRUNNER DR
Mailing Address - Street 2:
Mailing Address - City:LA VERNE
Mailing Address - State:CA
Mailing Address - Zip Code:91750-2350
Mailing Address - Country:US
Mailing Address - Phone:909-596-1303
Mailing Address - Fax:
Practice Address - Street 1:1245 W HUNTINGTON DR
Practice Address - Street 2:SUITE 106
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-6333
Practice Address - Country:US
Practice Address - Phone:626-449-5559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA342971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice