Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | D008715 | AZ |
Y | 1223D0004X | Dentist Anesthesiologist | 2901600423 | MI |
NPI | 1750728119 |
---|---|
Provider Name | Dr. Seth Arnall |
First Address | Cottonwood, AZ 86326-5110 |
Second Address | Cottonwood, AZ 86326-5110 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2013 |
Last Update Date | 20/05/2020 |