Provider Demographics
NPI:1376202358
Name:VIREN ABREO DDS PLLC
Entity Type:Organization
Organization Name:VIREN ABREO DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:VIREN
Authorized Official - Middle Name:J
Authorized Official - Last Name:ABREO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:214-724-7782
Mailing Address - Street 1:1500 W 38TH ST STE 14
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-6313
Mailing Address - Country:US
Mailing Address - Phone:512-452-5713
Mailing Address - Fax:
Practice Address - Street 1:1500 W 38TH ST STE 14
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-6313
Practice Address - Country:US
Practice Address - Phone:512-452-5713
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-17
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty