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Individual

RICHARD BRIAN ARIZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6855 S 27TH ST, FRANKLIN, WI 53132-8045
(414) 435-0787
Mailing address
20 BEAVERDALE LN, STONY BROOK, NY 11790-2507
(917) 519-6063

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1001944
WI
390200000X
Student in an Organized Health Care Education/Training Program
MD

Other

Enumeration date
03/09/2018
Last updated
09/30/2018
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