Provider Demographics
NPI:1215056973
Name:ARROYO-PRATT, MARIELENA (DMD)
Entity type:Individual
Prefix:DR
First Name:MARIELENA
Middle Name:
Last Name:ARROYO-PRATT
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5117 DORIN HILL CT
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23059-5536
Mailing Address - Country:US
Mailing Address - Phone:804-740-4330
Mailing Address - Fax:
Practice Address - Street 1:7834 FOREST HILL AVE
Practice Address - Street 2:STE 2
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23225-1974
Practice Address - Country:US
Practice Address - Phone:804-740-4330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010087251223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics