Provider Demographics
NPI:1861847246
Name:ARUN K. GARG,DMD
Entity Type:Organization
Organization Name:ARUN K. GARG,DMD
Other - Org Name:CENTER FOR DENTAL IMPLANTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:QUINTANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-280-4594
Mailing Address - Street 1:2999 NE. 191 STREET
Mailing Address - Street 2:SUITE 210
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180
Mailing Address - Country:US
Mailing Address - Phone:305-935-4991
Mailing Address - Fax:305-935-4997
Practice Address - Street 1:2999 NE 191ST ST
Practice Address - Street 2:SUITE 210
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-3123
Practice Address - Country:US
Practice Address - Phone:305-935-4991
Practice Address - Fax:305-935-4997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-04
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN110761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty