Provider Demographics
NPI:1245642107
Name:RAUL EDUARDO ARRECHEA DDS INC
Entity type:Organization
Organization Name:RAUL EDUARDO ARRECHEA DDS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAUL
Authorized Official - Middle Name:EDUARDO
Authorized Official - Last Name:ARRECHEA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:714-916-3008
Mailing Address - Street 1:2016 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:NATIONAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91950-5835
Mailing Address - Country:US
Mailing Address - Phone:619-477-3770
Mailing Address - Fax:619-477-3701
Practice Address - Street 1:2016 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:NATIONAL CITY
Practice Address - State:CA
Practice Address - Zip Code:91950-5835
Practice Address - Country:US
Practice Address - Phone:619-477-3770
Practice Address - Fax:619-477-3701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-27
Last Update Date:2014-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58001122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty