Organization
R CRUZ ABARO DENTAL CORP
Active
Other names
San Gabriel Dental & Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FAVIOLA SILVA (MANAGER)
(323) 835-6839
Entity
Organization
Contact information
Practice address
6503 ROSEMEAD BLVD, SAN GABRIEL, CA 91775-1936
(626) 720-4072
(626) 286-2598
Mailing address
6503 ROSEMEAD BLVD, SAN GABRIEL, CA 91775-1936
(626) 720-4072
(626) 286-2598
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/09/2020
Last updated
03/23/2021
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