Provider Demographics
NPI:1710001854
Name:VIEW MOBILE DENTAL ARNOLD C. PAULOS, D.D.S. PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:VIEW MOBILE DENTAL ARNOLD C. PAULOS, D.D.S. PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ARNOLD
Authorized Official - Middle Name:C
Authorized Official - Last Name:PAULOS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:925-225-9552
Mailing Address - Street 1:5720 STONERIDGE MALL RD
Mailing Address - Street 2:SUITE 295
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-2828
Mailing Address - Country:US
Mailing Address - Phone:925-225-9552
Mailing Address - Fax:925-847-9752
Practice Address - Street 1:5720 STONERIDGE MALL RD
Practice Address - Street 2:SUITE 295
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-2828
Practice Address - Country:US
Practice Address - Phone:925-225-9552
Practice Address - Fax:925-847-9752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39556122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty