MEDICARE: DR. MOHSEN 'ROBIN' F ABARI DDS

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	30351	CA

General Provider Information

NPI Number	:	1841248580
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MOHSEN 'ROBIN' F ABARI DDS

Provider Business Mailing Address
First Line	:	1111 W. COVINA BLVD.
Second Line	:	SUITE 230
City	:	SAN DIMAS
State	:	CA
Zip	:	91773
Country	:	US
Telephone Number	:	909-599-4000
Fax Number	:	909-305-0840

Provider Business Practice Location Address
First Line	:	1111 W COVINA BLVD
Second Line	:	SUITE 230
City	:	SAN DIMAS
State	:	CA
Zip	:	91773-3205
Country	:	US
Telephone Number	:	909-599-4000
Fax Number	:	909-305-0840

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	07/08/2007

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