Provider Demographics
NPI:1902481377
Name:ARROW DENTAL, LLC
Entity Type:Organization
Organization Name:ARROW DENTAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AIMEE
Authorized Official - Middle Name:KAYLIN
Authorized Official - Last Name:BREON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-868-6726
Mailing Address - Street 1:298 E GLADYS AVE STE C
Mailing Address - Street 2:
Mailing Address - City:HERMISTON
Mailing Address - State:OR
Mailing Address - Zip Code:97838-1803
Mailing Address - Country:US
Mailing Address - Phone:541-289-2170
Mailing Address - Fax:541-289-2174
Practice Address - Street 1:298 E GLADYS AVE STE C
Practice Address - Street 2:
Practice Address - City:HERMISTON
Practice Address - State:OR
Practice Address - Zip Code:97838-1803
Practice Address - Country:US
Practice Address - Phone:541-289-2170
Practice Address - Fax:541-289-2174
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARROW DENTAL, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-03-16
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty