Provider Demographics
NPI:1164291340
Name:RONALD ABARO DDS PC
Entity Type:Organization
Organization Name:RONALD ABARO DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FAVIOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:SILVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-282-6928
Mailing Address - Street 1:3131 E FLORENCE AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90255-5839
Mailing Address - Country:US
Mailing Address - Phone:323-585-3332
Mailing Address - Fax:323-585-5277
Practice Address - Street 1:1830 RIETH BLVD
Practice Address - Street 2:SUITE 4
Practice Address - City:GOSHEN
Practice Address - State:IN
Practice Address - Zip Code:46526-5859
Practice Address - Country:US
Practice Address - Phone:574-501-4901
Practice Address - Fax:574-830-1070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-28
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty