Provider Demographics
NPI:1952810491
Name:JONES, ARIELLE ERIN
Entity Type:Individual
Prefix:
First Name:ARIELLE
Middle Name:ERIN
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:984 MONUMENT ST STE 207
Mailing Address - Street 2:
Mailing Address - City:PACIFIC PALISADES
Mailing Address - State:CA
Mailing Address - Zip Code:90272-3859
Mailing Address - Country:US
Mailing Address - Phone:909-967-7310
Mailing Address - Fax:
Practice Address - Street 1:984 MONUMENT ST STE 207
Practice Address - Street 2:
Practice Address - City:PACIFIC PALISADES
Practice Address - State:CA
Practice Address - Zip Code:90272-3859
Practice Address - Country:US
Practice Address - Phone:310-459-7861
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-27
Last Update Date:2020-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1016771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice