Provider Demographics
NPI:1942716899
Name:ARAMBUL, MIGUEL DIONISO (RDH)
Entity Type:Individual
Prefix:
First Name:MIGUEL
Middle Name:DIONISO
Last Name:ARAMBUL
Suffix:
Gender:M
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11520 ROCHESTER CT
Mailing Address - Street 2:
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-1757
Mailing Address - Country:US
Mailing Address - Phone:714-478-8839
Mailing Address - Fax:
Practice Address - Street 1:901 W WHITTIER BLVD
Practice Address - Street 2:
Practice Address - City:MONTEBELLO
Practice Address - State:CA
Practice Address - Zip Code:90640-4737
Practice Address - Country:US
Practice Address - Phone:323-728-8588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-14
Last Update Date:2017-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31474124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist