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Individual

DR. CHARLES K ARIZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
8639 WOODHAVEN BLVD, JAMAICA, NY 11421-1438
(718) 845-7772
Mailing address
8555 106TH ST, RICHMOND HILL, NY 11418-1130
(646) 392-6883

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
062357
NY
1223G0001X
General Practice Dentistry
1002170-15
WI
1223G0001X
General Practice Dentistry
DN24436
FL

Other

Enumeration date
08/06/2019
Last updated
12/18/2024
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