Provider Demographics
NPI:1669140703
Name:PAL, ARVIN (DDS)
Entity type:Individual
Prefix:DR
First Name:ARVIN
Middle Name:
Last Name:PAL
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 1:10982 ROEBLING AVE APT 514
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024-2793
Mailing Address - Country:US
Mailing Address - Phone:925-899-6517
Mailing Address - Fax:
Practice Address - Street 1:10982 ROEBLING AVE APT 514
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024-2793
Practice Address - Country:US
Practice Address - Phone:925-899-6517
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-02
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADDS1046101223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics