| Abbey Dental, Inc. | |
|
650 S Lincoln Ave Ste 102 Corona CA 92882-3540 | |
| (951) 372-0440 | |
| (951) 372-0660 |
| Full Name | Abbey Dental, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 650 S Lincoln Ave Ste 102, Corona, California |
| Authorized Official Name and Position | Abdulhassan Aliakbar Tawoosi (GENERAL DENTIST/OWNER) |
| Authorized Official Contact | 7735468317 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abbey Dental, Inc. 650 S Lincoln Ave Ste 102 Corona CA 92882-3540 Ph: (951) 372-0440 | Abbey Dental, Inc. 650 S Lincoln Ave Ste 102 Corona CA 92882-3540 Ph: (951) 372-0440 |
| NPI Number | 1932679560 |
|---|---|
| Provider Enumeration Date | 11/27/2018 |
| Last Update Date | 03/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932679560 | NPI | - | NPPES |
| 102569 | Other | CA | STATE ISSUED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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