Provider Demographics
NPI:1134378912
Name:ARYAN, FRANK (DDS)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:
Last Name:ARYAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8373 CULEBRA RD
Mailing Address - Street 2:SUITE # 102A
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-1663
Mailing Address - Country:US
Mailing Address - Phone:210-800-9691
Mailing Address - Fax:210-800-9795
Practice Address - Street 1:8373 CULEBRA RD
Practice Address - Street 2:SUITE # 102 A
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-1663
Practice Address - Country:US
Practice Address - Phone:210-800-9691
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-16
Last Update Date:2017-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX241921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice