Provider Demographics
NPI:1891898185
Name:ARBAB, ROYA (DDS)
Entity type:Individual
Prefix:DR
First Name:ROYA
Middle Name:
Last Name:ARBAB
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 1:2401 PACIFIC COAST HIGHWAY
Mailing Address - Street 2:#205
Mailing Address - City:HERMOSA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90254
Mailing Address - Country:US
Mailing Address - Phone:310-374-8901
Mailing Address - Fax:
Practice Address - Street 1:2401 PACIFIC COAST HWY
Practice Address - Street 2:#205
Practice Address - City:HERMOSA BEACH
Practice Address - State:CA
Practice Address - Zip Code:90254-2736
Practice Address - Country:US
Practice Address - Phone:310-374-8901
Practice Address - Fax:310-376-3443
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA377791223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics