Provider Demographics
NPI:1528358314
Name:DR. JOSE ARROYO'S FAMILY DENTAL
Entity Type:Organization
Organization Name:DR. JOSE ARROYO'S FAMILY DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:ARROYO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:301-622-2269
Mailing Address - Street 1:610 VALLEY BROOK DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-2954
Mailing Address - Country:US
Mailing Address - Phone:301-622-2269
Mailing Address - Fax:301-622-2219
Practice Address - Street 1:610 VALLEY BROOK DR
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-2954
Practice Address - Country:US
Practice Address - Phone:301-622-2269
Practice Address - Fax:301-622-2219
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-13
Last Update Date:2011-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD13085261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental