MEDICARE: ABRI DENTAL OFFICE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285270603
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABRI DENTAL OFFICE INC

Provider Business Mailing Address
First Line	:	3808 W RIVERSIDE DR STE 501
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91505-4396
Country	:	US
Telephone Number	:	818-779-0299
Fax Number	:	888-905-0578

Provider Business Practice Location Address
First Line	:	3808 W RIVERSIDE DR STE 501
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91505-4396
Country	:	US
Telephone Number	:	818-779-0299
Fax Number	:	888-905-0578

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DAVID ABRI
Credential	:	DDS
Telephone Number	:	747-200-4234

Provider Enumeration Date	:	11/20/2019
Last Update Date	:	08/13/2020

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Directions to “ABRI DENTAL OFFICE INC ” Practice Location

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