Provider Demographics
NPI:1538463815
Name:ARRECHEA, VANINA C (DDS)
Entity Type:Individual
Prefix:DR
First Name:VANINA
Middle Name:C
Last Name:ARRECHEA
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 1:7033 GREENVILLE AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-5116
Mailing Address - Country:US
Mailing Address - Phone:214-233-9460
Mailing Address - Fax:
Practice Address - Street 1:7033 GREENVILLE AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-5116
Practice Address - Country:US
Practice Address - Phone:214-233-9460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-31
Last Update Date:2015-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX217507703Medicaid