Individual
DR. CHALES ANTHONY ARENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
BOX 555221, 1ST DENBN/NDC, CAMP PENDLETON, CA 92055-5221
(760) 725-2569
Mailing address
BOX 555221, 1ST DENBN/NDC, CAMP PENDLETON, CA 92055-5221
(760) 725-2569
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22869
CA
1223G0001X
General Practice Dentistry
4697
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22869
STATE LICENSE
CA
01
—
4697
STATE LICENSE
WA
Enumeration date
12/19/2005
Last updated
02/20/2009
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