Provider Demographics
NPI:1790728335
Name:ABELLO, MARIA ELENA (DMD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:ELENA
Last Name:ABELLO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 JOURNEY
Mailing Address - Street 2:SUITE 150
Mailing Address - City:ALISO VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92656-5317
Mailing Address - Country:US
Mailing Address - Phone:949-448-0900
Mailing Address - Fax:949-362-3904
Practice Address - Street 1:6 JOURNEY
Practice Address - Street 2:SUITE 150
Practice Address - City:ALISO VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92656-5317
Practice Address - Country:US
Practice Address - Phone:949-448-0900
Practice Address - Fax:949-362-3904
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA393631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice