Provider Demographics
NPI:1528368057
Name:ARANDIA MEOLA LLC
Entity Type:Organization
Organization Name:ARANDIA MEOLA LLC
Other - Org Name:ARANDIA & MEOLA DENTAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:ARANDIA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:617-232-7399
Mailing Address - Street 1:1576 COMMONWEALTH AVE
Mailing Address - Street 2:101-102
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-5004
Mailing Address - Country:US
Mailing Address - Phone:617-232-7399
Mailing Address - Fax:
Practice Address - Street 1:1576 COMMONWEALTH AVE
Practice Address - Street 2:101-102
Practice Address - City:BRIGHTON
Practice Address - State:MA
Practice Address - Zip Code:02135-5004
Practice Address - Country:US
Practice Address - Phone:617-232-7399
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-01
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA204201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty