Provider Demographics
NPI:1851892368
Name:ARROW DENTAL LLC
Entity Type:Organization
Organization Name:ARROW DENTAL LLC
Other - Org Name:ARROW DENTAL - MILWAUKIE
Other - Org Type:Other Name
Authorized Official - Title/Position:VP DENTAL/CHIEF DENTAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:TERI
Authorized Official - Middle Name:
Authorized Official - Last Name:BARICHELLO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:503-412-4198
Mailing Address - Street 1:10505 SE 17TH AVENUE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKIE
Mailing Address - State:OR
Mailing Address - Zip Code:97222
Mailing Address - Country:US
Mailing Address - Phone:503-653-4093
Mailing Address - Fax:503-653-4891
Practice Address - Street 1:10505 SE 17TH AVENUE
Practice Address - Street 2:
Practice Address - City:MILWAUKIE
Practice Address - State:OR
Practice Address - Zip Code:97222
Practice Address - Country:US
Practice Address - Phone:503-653-4093
Practice Address - Fax:503-653-4891
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARROW DENTAL LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-02-21
Last Update Date:2018-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty