Provider Demographics
NPI:1639370695
Name:ARANGO, CARLOS A (DMD)
Entity Type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:A
Last Name:ARANGO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5640 NW 115TH CT
Mailing Address - Street 2:UNIT 206
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-4179
Mailing Address - Country:US
Mailing Address - Phone:786-303-7791
Mailing Address - Fax:
Practice Address - Street 1:5640 NW 115TH CT
Practice Address - Street 2:UNIT 206
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178-4179
Practice Address - Country:US
Practice Address - Phone:786-303-7791
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 17347122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist