Most Relevant Information
Provider Data
| NPI Number: | 1003343708 |
| Provider Name: | ARLENE TEANA ZAKIA MOORE YOUNAN D.M.D |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/12/2017 |
| Last Updated: | 10/28/2020 |
Provider Practice Location
3750 ROHNERVILLE ROAD
FORTUNA
CA
95540
Practice Location Phone/Fax
| Phone: | 7076172555 |
| Fax: | 7077257843 |
Provider Mailing Location
670 9TH ST STE 203
ARCATA
CA
955216249
Provider Mailing Phone/Fax
| Phone: | 7078268633 |
| Fax: |