Provider Demographics
NPI:1861824351
Name:ARNOLD, DBBIE
Entity Type:Individual
Prefix:
First Name:DBBIE
Middle Name:
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10620 N 43RD AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85304-4150
Mailing Address - Country:US
Mailing Address - Phone:602-973-3690
Mailing Address - Fax:602-547-0359
Practice Address - Street 1:10620 N 43RD AVE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85304-4150
Practice Address - Country:US
Practice Address - Phone:602-973-3690
Practice Address - Fax:602-547-0359
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-06
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes126800000XDental ProvidersDental Assistant