Provider Demographics
NPI:1013136936
Name:ARANGO, DORA ELIDA (DDS)
Entity Type:Individual
Prefix:DR
First Name:DORA
Middle Name:ELIDA
Last Name:ARANGO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7554 LAUREL CANYON BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91605-3148
Mailing Address - Country:US
Mailing Address - Phone:818-982-0294
Mailing Address - Fax:818-982-1527
Practice Address - Street 1:7554 LAUREL CANYON BLVD
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91605-3148
Practice Address - Country:US
Practice Address - Phone:818-982-0294
Practice Address - Fax:818-982-1527
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA422691223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice