Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | 53965 | CA |
NPI | 1023193596 |
---|---|
Provider Name | Dr. Robin Arita |
First Address | Huntington Beach, CA 92646-8211 |
Second Address | Lake Forest, CA 92630-4825 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2006 |
Last Update Date | 08/06/2015 |