Provider Demographics
NPI:1639562887
Name:ARURI, MAHMOUD (DMD)
Entity Type:Individual
Prefix:
First Name:MAHMOUD
Middle Name:
Last Name:ARURI
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 1:71 AIKEN ST
Mailing Address - Street 2:APT I11
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06851-2157
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:652 MAIN AVE
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-1189
Practice Address - Country:US
Practice Address - Phone:203-846-6745
Practice Address - Fax:203-846-6756
Is Sole Proprietor?:No
Enumeration Date:2015-03-12
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT011568122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist