Provider Demographics
NPI:1750425245
Name:MARIA E ABELLO, DMD, INC
Entity type:Organization
Organization Name:MARIA E ABELLO, DMD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:E
Authorized Official - Last Name:ABELLO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:949-636-3516
Mailing Address - Street 1:6 JOURNEY STE 150
Mailing Address - Street 2:
Mailing Address - City:ALISO VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92656-5362
Mailing Address - Country:US
Mailing Address - Phone:949-448-0900
Mailing Address - Fax:949-448-0990
Practice Address - Street 1:6 JOURNEY STE 150
Practice Address - Street 2:
Practice Address - City:ALISO VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92656-5362
Practice Address - Country:US
Practice Address - Phone:949-448-0900
Practice Address - Fax:949-448-0990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA393631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty