Provider Demographics
NPI:1528542180
Name:R.C. ABARO DENTAL CORP
Entity Type:Organization
Organization Name:R.C. ABARO DENTAL CORP
Other - Org Name:INGLEWOOD FAMILY DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:CRUZ
Authorized Official - Last Name:ABARO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:323-585-3332
Mailing Address - Street 1:400 E REGENT ST
Mailing Address - Street 2:
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90301-1316
Mailing Address - Country:US
Mailing Address - Phone:310-674-7590
Mailing Address - Fax:
Practice Address - Street 1:400 E REGENT ST
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90301-1316
Practice Address - Country:US
Practice Address - Phone:310-674-7590
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-19
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty