Provider Demographics
NPI:1770777419
Name:JOSEPH J ABREW DDS INC
Entity type:Organization
Organization Name:JOSEPH J ABREW DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:JOEL
Authorized Official - Last Name:ABREW
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:707-446-2036
Mailing Address - Street 1:290 ALAMO DR STE A
Mailing Address - Street 2:
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95688-4245
Mailing Address - Country:US
Mailing Address - Phone:707-446-2036
Mailing Address - Fax:707-446-4211
Practice Address - Street 1:290 ALAMO DR STE A
Practice Address - Street 2:
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95688-4245
Practice Address - Country:US
Practice Address - Phone:707-446-2036
Practice Address - Fax:707-446-4211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-05
Last Update Date:2007-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA472201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty