Provider Demographics
NPI:1578261889
Name:ABURTO DENTAL GROUP CORP
Entity Type:Organization
Organization Name:ABURTO DENTAL GROUP CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR.
Authorized Official - Prefix:
Authorized Official - First Name:RITA
Authorized Official - Middle Name:C
Authorized Official - Last Name:AYALA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:954-520-7096
Mailing Address - Street 1:350 S STATE ROAD 7
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33068-5703
Mailing Address - Country:US
Mailing Address - Phone:954-520-7096
Mailing Address - Fax:754-220-3148
Practice Address - Street 1:350 S STATE ROAD 7
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33068-5703
Practice Address - Country:US
Practice Address - Phone:954-520-7096
Practice Address - Fax:754-220-3148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-16
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental