Provider Demographics
NPI:1780810358
Name:ARAUZ, ALFREDO (DMD)
Entity type:Individual
Prefix:DR
First Name:ALFREDO
Middle Name:
Last Name:ARAUZ
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16830 N KENDALL DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-5935
Mailing Address - Country:US
Mailing Address - Phone:305-388-4886
Mailing Address - Fax:305-388-9880
Practice Address - Street 1:16830 N KENDALL DR
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-5935
Practice Address - Country:US
Practice Address - Phone:305-388-4886
Practice Address - Fax:305-388-9880
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-09
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN187051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice