Provider Demographics
NPI:1942429287
Name:ARIMADO, HARRY RUBIO (DENTIST)
Entity Type:Individual
Prefix:
First Name:HARRY
Middle Name:RUBIO
Last Name:ARIMADO
Suffix:
Gender:M
Credentials:DENTIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 GRISTMILL RD
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07731-3150
Mailing Address - Country:US
Mailing Address - Phone:732-367-9567
Mailing Address - Fax:
Practice Address - Street 1:1405 MAIN ST
Practice Address - Street 2:
Practice Address - City:BELMAR
Practice Address - State:NJ
Practice Address - Zip Code:07719-2716
Practice Address - Country:US
Practice Address - Phone:732-681-2393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDIO215921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice