Provider Demographics
NPI:1316282981
Name:ARNOUK, REEMA M (DDS)
Entity type:Individual
Prefix:DR
First Name:REEMA
Middle Name:M
Last Name:ARNOUK
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 S GRAND AVE STE 420
Mailing Address - Street 2:
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91741-4294
Mailing Address - Country:US
Mailing Address - Phone:626-963-3322
Mailing Address - Fax:626-963-3399
Practice Address - Street 1:210 S GRAND AVE STE 420
Practice Address - Street 2:
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91741-4294
Practice Address - Country:US
Practice Address - Phone:626-963-3322
Practice Address - Fax:626-963-3399
Is Sole Proprietor?:No
Enumeration Date:2012-12-07
Last Update Date:2012-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41655122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist