Provider Demographics
NPI:1821171208
Name:AROSTEGUY, HELENICE BALENA (RDH)
Entity Type:Individual
Prefix:MS
First Name:HELENICE
Middle Name:BALENA
Last Name:AROSTEGUY
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:MS
Other - First Name:HELENICE
Other - Middle Name:BALENA
Other - Last Name:AROSTEGUY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RDH
Mailing Address - Street 1:PO BOX 71762
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85050-1013
Mailing Address - Country:US
Mailing Address - Phone:623-215-3783
Mailing Address - Fax:
Practice Address - Street 1:13375 W GRAND AVE
Practice Address - Street 2:STE 109
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-4070
Practice Address - Country:US
Practice Address - Phone:623-544-2300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2469124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist