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General NPI Number Information
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NPI Number | 1780009233
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Entity Type | Organization
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Legal Business Name | ABRI DENTAL CORP
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Dates
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Enumeration Date | 02/20/2014
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Last Update Date | 08/13/2020
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Provider Practice Location Address
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Address Line | 3808 W RIVERSIDE DR 501
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City | BURBANK
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State | CA
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Zip | 91505-4325
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Country | US
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Telephone | 818-779-0299
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Fax | 888-753-2687
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Provider Business Mailing Address
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Address Line | 3808 W RIVERSIDE DR 501
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City | BURBANK
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State | CA
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Zip | 91505-4325
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Country | US
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Telephone | 818-779-0299
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Fax | 888-753-2687
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Authorized Official
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Title or Position | PRESIDENT - CEO
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Name | DR. DAVID ABRI
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Credential | DDS
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Telephone | 747-200-4234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 49833
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License Number State | CA
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