Provider Demographics
NPI:1245717651
Name:TOW, ARI EVAN (DMD)
Entity type:Individual
Prefix:DR
First Name:ARI
Middle Name:EVAN
Last Name:TOW
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8921 RAVEN ROCK CT
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33473-4831
Mailing Address - Country:US
Mailing Address - Phone:941-735-5111
Mailing Address - Fax:
Practice Address - Street 1:1245 NW 119TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33167-3231
Practice Address - Country:US
Practice Address - Phone:305-685-7863
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-27
Last Update Date:2018-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL236021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice