Provider Demographics
NPI:1255429106
Name:DE BUYL, ARNAUD MARC (DDS)
Entity type:Individual
Prefix:
First Name:ARNAUD
Middle Name:MARC
Last Name:DE BUYL
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 1:830 S MASON RD STE A6
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-3863
Mailing Address - Country:US
Mailing Address - Phone:281-392-9251
Mailing Address - Fax:281-392-5398
Practice Address - Street 1:830 S MASON RD STE A6
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-3863
Practice Address - Country:US
Practice Address - Phone:281-392-9251
Practice Address - Fax:281-392-5398
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX218181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice