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Organization
ABBEY DENTAL, INC.
Active
Organization
ABBEY DENTAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDULHASSAN ALIAKBAR TAWOOSI DDS (GENERAL DENTIST/OWNER)
(773) 546-8317
Entity
Organization
Contact information
Practice address
650 S LINCOLN AVE STE 102, CORONA, CA 92882-3540
(951) 372-0440
(951) 372-0660
Mailing address
650 S LINCOLN AVE STE 102, CORONA, CA 92882-3540
(951) 372-0440
(951) 372-0660
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102569
STATE ISSUED
CA
Enumeration date
11/27/2018
Last updated
03/01/2022
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