Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | DN18347 | FL |
NPI | 1003054040 |
---|---|
Provider Name | Dr. Arveen H Andalib |
First Address | Plantation, FL 33324-4043 |
Second Address | Plantation, FL 33324-4043 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2009 |
Last Update Date | 22/02/2016 |