Individual
DR. MATTHEW DAVID ARNALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
716 N 110TH ST, MESA, AZ 85207-2234
(928) 848-2596
Mailing address
716 N 110TH ST, MESA, AZ 85207-2234
(928) 848-2596
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
D008161
AZ
1223G0001X
General Practice Dentistry
057826-1
NY
1223G0001X
General Practice Dentistry
Primary
D008161
AZ
1223G0001X
General Practice Dentistry
D4135
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D008161
ARIZONA STATE BOARD OF DENTAL EXAMINERS
AZ
Enumeration date
05/30/2008
Last updated
04/10/2018
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