Dr. Angelo Manaloto Arce, D.D.S.
Dentist, Pediatric Dentistry in Chicago, IL. Individual provider (NPI-1).
NPI number1104357722
StatusActive
Last updated in NPPESMar 7, 2023
Details
- NPI
- 1104357722
- Entity type
- Individual (NPI-1)
- Name
- Dr. Angelo Manaloto Arce
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 24, 2017
- Certification date
- Mar 7, 2023
- Last updated
- Mar 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | 021.003019 | IL | Yes |
| 122300000X | Dentist | 019.031263 | IL | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1740 W Taylor StChicago, IL 60612
Phone 866-600-2273
Mailing address
300 N Canal StApt 1811
Chicago, IL 60606-1281
Phone 717-419-6826
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