Provider Demographics
NPI:1649350018
Name:ARRANZ, ELVIRA L (DMD)
Entity type:Individual
Prefix:DR
First Name:ELVIRA
Middle Name:L
Last Name:ARRANZ
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 1:4140 OCEANSIDE BLVD
Mailing Address - Street 2:SUITE 131
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056-6005
Mailing Address - Country:US
Mailing Address - Phone:760-630-4800
Mailing Address - Fax:760-630-4649
Practice Address - Street 1:4140 OCEANSIDE BLVD
Practice Address - Street 2:SUITE 131
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92056-6005
Practice Address - Country:US
Practice Address - Phone:760-630-4800
Practice Address - Fax:760-630-4649
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA480781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG93262-01OtherHEALTHY FAMILIES
CAG93262-01Medicare ID - Type UnspecifiedDENTI-CAL