Provider Demographics
NPI:1942605464
Name:ABDOULIN, ARTHUR (DMD)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:
Last Name:ABDOULIN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3291 STANFORD RANCH RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ROCKLIN
Mailing Address - State:CA
Mailing Address - Zip Code:95765-5577
Mailing Address - Country:US
Mailing Address - Phone:916-435-1665
Mailing Address - Fax:916-435-1734
Practice Address - Street 1:2660 WINDMILL PKWY
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074
Practice Address - Country:US
Practice Address - Phone:702-309-0906
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-27
Last Update Date:2018-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV66181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice