Provider Demographics
NPI:1265775654
Name:ABILEZ, GILBERT JR (DDS)
Entity type:Individual
Prefix:
First Name:GILBERT
Middle Name:
Last Name:ABILEZ
Suffix:JR
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 1:27450 TOURNEY RD
Mailing Address - Street 2:SUITE 140
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-1828
Mailing Address - Country:US
Mailing Address - Phone:661-259-4200
Mailing Address - Fax:661-254-4988
Practice Address - Street 1:27450 TOURNEY RD
Practice Address - Street 2:SUITE 140
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-1828
Practice Address - Country:US
Practice Address - Phone:661-259-4200
Practice Address - Fax:661-254-4988
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-03
Last Update Date:2013-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39740122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist