Provider Demographics
NPI:1609247519
Name:ARI J SOCHER DMD
Entity Type:Organization
Organization Name:ARI J SOCHER DMD
Other - Org Name:RENUMI MOBILE DENTAL CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ONWER
Authorized Official - Prefix:
Authorized Official - First Name:ARI
Authorized Official - Middle Name:J
Authorized Official - Last Name:SOCHER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:954-663-3998
Mailing Address - Street 1:6601 LYONS RD
Mailing Address - Street 2:SUITE L4
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33073-3627
Mailing Address - Country:US
Mailing Address - Phone:954-663-3998
Mailing Address - Fax:
Practice Address - Street 1:6601 LYONS RD
Practice Address - Street 2:SUITE L4
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33073-3627
Practice Address - Country:US
Practice Address - Phone:954-663-3998
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-19
Last Update Date:2015-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN185881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty