Provider Demographics
NPI:1487806345
Name:ARANDA & ARANDA D.D.S PA
Entity type:Organization
Organization Name:ARANDA & ARANDA D.D.S PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAFAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ARANDA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:210-690-5252
Mailing Address - Street 1:10905 WURZBACH RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-2501
Mailing Address - Country:US
Mailing Address - Phone:210-690-5252
Mailing Address - Fax:210-690-3889
Practice Address - Street 1:10905 WURZBACH RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-2501
Practice Address - Country:US
Practice Address - Phone:210-690-5252
Practice Address - Fax:210-690-3889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-22
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX164101223G0001X
TX164741223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX091145501Medicaid
TX009019301Medicaid