Provider Demographics
NPI:1730872938
Name:ARANDA, ALFREDO JARETH (DDS)
Entity type:Individual
Prefix:
First Name:ALFREDO
Middle Name:JARETH
Last Name:ARANDA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:459 S SCHOOL HOUSE RD
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:UT
Mailing Address - Zip Code:84045-4516
Mailing Address - Country:US
Mailing Address - Phone:801-979-7799
Mailing Address - Fax:801-979-7799
Practice Address - Street 1:641 W 9000 S
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84070-2580
Practice Address - Country:US
Practice Address - Phone:385-900-5200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-01
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT13431525-9922122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist