Provider Demographics
NPI:1609372135
Name:ELVIRA L. ARRANZ, DDS, INC
Entity Type:Organization
Organization Name:ELVIRA L. ARRANZ, DDS, INC
Other - Org Name:RANCHO DENTAL PRACTICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELVIRA
Authorized Official - Middle Name:L
Authorized Official - Last Name:ARRANZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:760-630-4800
Mailing Address - Street 1:4140 OCEANSIDE BLVD STE 131
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056-6005
Mailing Address - Country:US
Mailing Address - Phone:760-630-4800
Mailing Address - Fax:
Practice Address - Street 1:4140 OCEANSIDE BLVD STE 131
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92056-6005
Practice Address - Country:US
Practice Address - Phone:760-630-4800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-03
Last Update Date:2018-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental