Provider Demographics
NPI:1649622887
Name:ARUNACHALAM, RAJI (DDS)
Entity type:Individual
Prefix:DR
First Name:RAJI
Middle Name:
Last Name:ARUNACHALAM
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 PAZZI
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-7305
Mailing Address - Country:US
Mailing Address - Phone:818-397-3784
Mailing Address - Fax:
Practice Address - Street 1:1 PAZZI
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-7305
Practice Address - Country:US
Practice Address - Phone:818-397-3784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-12
Last Update Date:2016-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA64523122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist