Provider Demographics
NPI:1558973230
Name:ARORA, JATIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:JATIN
Middle Name:
Last Name:ARORA
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 1:145 IRVING ST STE 206A
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94122-2773
Mailing Address - Country:US
Mailing Address - Phone:503-819-6386
Mailing Address - Fax:
Practice Address - Street 1:9640 BRUCEVILLE RD
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95757-5936
Practice Address - Country:US
Practice Address - Phone:503-819-6386
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-23
Last Update Date:2020-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA105342122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist