Provider Demographics
NPI:1922644293
Name:FABRIZIO DALL'OLMO DDS INC.
Entity Type:Organization
Organization Name:FABRIZIO DALL'OLMO DDS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:FABRIZIO
Authorized Official - Middle Name:
Authorized Official - Last Name:DALL'OLMO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:562-309-4433
Mailing Address - Street 1:7721 PAINTER AVE
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90602-2411
Mailing Address - Country:US
Mailing Address - Phone:562-309-4433
Mailing Address - Fax:562-309-4433
Practice Address - Street 1:7721 PAINTER AVE
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90602-2411
Practice Address - Country:US
Practice Address - Phone:562-309-4433
Practice Address - Fax:562-309-4433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-21
Last Update Date:2019-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty