Provider Demographics
NPI:1689811127
Name:OQUENDO, ARNOLD P
Entity Type:Individual
Prefix:
First Name:ARNOLD
Middle Name:P
Last Name:OQUENDO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35959 WOLVERINE LN.
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-1254
Mailing Address - Country:US
Mailing Address - Phone:951-239-1254
Mailing Address - Fax:
Practice Address - Street 1:35959 WOLVERINE LN.
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-1254
Practice Address - Country:US
Practice Address - Phone:951-239-1254
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-20
Last Update Date:2009-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA124Q00000X124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist