Organization
ABARO DDS CORP
Active
Other names
Lakewood Dental & Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FAVIOLA SILVA (REGIONAL BILLING MANAGER)
(323) 835-6839
Entity
Organization
Contact information
Practice address
4346 SOUTH ST, LAKEWOOD, CA 90712-1152
(562) 408-3500
(562) 408-3736
Mailing address
4346 SOUTH ST, LAKEWOOD, CA 90712-1152
(562) 408-3500
(562) 408-3736
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306984596
—
CA
Enumeration date
10/05/2021
Last updated
10/05/2021
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