Provider Demographics
NPI:1255922894
Name:DELGADO, ARLEEN (RDH)
Entity type:Individual
Prefix:MRS
First Name:ARLEEN
Middle Name:
Last Name:DELGADO
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4924 ALLEN RD
Mailing Address - Street 2:
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33541-3526
Mailing Address - Country:US
Mailing Address - Phone:813-779-8591
Mailing Address - Fax:
Practice Address - Street 1:4924 ALLEN RD
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33541-3526
Practice Address - Country:US
Practice Address - Phone:813-779-8591
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-27
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDH17496124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist