Healthcare Provider Details

I. General information

NPI: 1295645802
Provider Name (Legal Business Name): MARCO ABDULLAH DDS & ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1016 E COOLEY DR STE F
COLTON CA
92324-3961
US

IV. Provider business mailing address

1016 E COOLEY DR STE F
COLTON CA
92324-3961
US

V. Phone/Fax

Practice location:
  • Phone: 909-283-1328
  • Fax: 909-639-1143
Mailing address:
  • Phone: 909-283-1328
  • Fax: 909-639-1143

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARCO ABDULLAH
Title or Position: PRESIDENT
Credential: DDS
Phone: 909-247-5602