Provider Demographics
NPI:1316388820
Name:ABARCA, MARVIN ANTONIO (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARVIN
Middle Name:ANTONIO
Last Name:ABARCA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7983 NW 186TH TER
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-7204
Mailing Address - Country:US
Mailing Address - Phone:305-778-4722
Mailing Address - Fax:
Practice Address - Street 1:1330 CORAL WAY STE 406
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-2945
Practice Address - Country:US
Practice Address - Phone:305-285-8341
Practice Address - Fax:786-265-0168
Is Sole Proprietor?:No
Enumeration Date:2013-07-12
Last Update Date:2021-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN202101223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry