MEDICARE: DR. DAVID ABRI D.D.S.

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	49833	CA

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	:	1447392956
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID ABRI D.D.S.

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	:	747-200-4234
Fax Number	:	888-232-0989

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	:	747-200-4234
Fax Number	:	888-232-0989

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

Provider Enumeration Date	:	02/12/2007
Last Update Date	:	08/13/2020

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