Provider Demographics
NPI:1275574022
Name:ARANGO, LI (DMD)
Entity Type:Individual
Prefix:
First Name:LI
Middle Name:
Last Name:ARANGO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:819 PARK ST
Mailing Address - Street 2:
Mailing Address - City:STOUGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02072-3630
Mailing Address - Country:US
Mailing Address - Phone:781-297-9868
Mailing Address - Fax:886-892-2638
Practice Address - Street 1:819 PARK ST
Practice Address - Street 2:
Practice Address - City:STOUGHTON
Practice Address - State:MA
Practice Address - Zip Code:02072-3630
Practice Address - Country:US
Practice Address - Phone:781-344-0050
Practice Address - Fax:781-297-9868
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2016-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA205321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice