Provider Demographics
NPI:1184889016
Name:URBACH, ABRAHAM SIGMUND (DDS)
Entity type:Individual
Prefix:DR
First Name:ABRAHAM
Middle Name:SIGMUND
Last Name:URBACH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19231 VICTORY BLVD
Mailing Address - Street 2:SUITE 357
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-6354
Mailing Address - Country:US
Mailing Address - Phone:818-886-6900
Mailing Address - Fax:818-785-2643
Practice Address - Street 1:19231 VICTORY BLVD
Practice Address - Street 2:SUITE 357
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-6354
Practice Address - Country:US
Practice Address - Phone:818-886-6900
Practice Address - Fax:818-785-2643
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-21
Last Update Date:2015-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16066122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist