Provider Demographics
NPI:1467281600
Name:ARREAZA HERNANDEZ, CATHERINE (DDS, MS)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:ARREAZA HERNANDEZ
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:
Other - Last Name:ARREAZA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS, MS
Mailing Address - Street 1:269 DOVETAIL DR
Mailing Address - Street 2:
Mailing Address - City:LEWIS CENTER
Mailing Address - State:OH
Mailing Address - Zip Code:43035-6116
Mailing Address - Country:US
Mailing Address - Phone:737-356-1880
Mailing Address - Fax:
Practice Address - Street 1:305 W 12TH AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43210-1267
Practice Address - Country:US
Practice Address - Phone:614-292-1472
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-27
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRES.0043441223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics