Provider Demographics
NPI:1790809630
Name:CUKIER, ARNOLD MARK (DDS)
Entity Type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:MARK
Last Name:CUKIER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9633 W BROWARD BLVD
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-2332
Mailing Address - Country:US
Mailing Address - Phone:954-473-4800
Mailing Address - Fax:
Practice Address - Street 1:9633 W BROWARD BLVD
Practice Address - Street 2:SUITE 2A
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-2332
Practice Address - Country:US
Practice Address - Phone:954-473-4800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL54631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice