Provider Demographics
NPI:1770707036
Name:ARAFILES-REYES, MILDRED PASION (DDS)
Entity type:Individual
Prefix:DR
First Name:MILDRED
Middle Name:PASION
Last Name:ARAFILES-REYES
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32025 ALVARADO BLVD
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94587-4005
Mailing Address - Country:US
Mailing Address - Phone:510-489-9282
Mailing Address - Fax:510-489-2930
Practice Address - Street 1:32025 ALVARADO BLVD
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:CA
Practice Address - Zip Code:94587-4005
Practice Address - Country:US
Practice Address - Phone:510-489-9282
Practice Address - Fax:510-489-2930
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA308921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice