Provider Demographics
NPI:1285887786
Name:ARANDA, GABRIELA (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:GABRIELA
Middle Name:
Last Name:ARANDA
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2150 NE DIVISION ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:GRESHAM
Mailing Address - State:OR
Mailing Address - Zip Code:97030-5813
Mailing Address - Country:US
Mailing Address - Phone:503-912-1267
Mailing Address - Fax:
Practice Address - Street 1:2150 NE DIVISION ST
Practice Address - Street 2:SUITE 203
Practice Address - City:GRESHAM
Practice Address - State:OR
Practice Address - Zip Code:97030-5813
Practice Address - Country:US
Practice Address - Phone:503-912-1267
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD90791223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics