Provider Demographics
NPI:1770978223
Name:RONALD CRUZ ABARO DDS INC.
Entity type:Organization
Organization Name:RONALD CRUZ ABARO DDS INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGING DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:CRUZ
Authorized Official - Last Name:ABARO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:1323-585-3332
Mailing Address - Street 1:3131 E FLORENCE AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90255-5839
Mailing Address - Country:US
Mailing Address - Phone:323-585-3332
Mailing Address - Fax:
Practice Address - Street 1:3131 E FLORENCE AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON PARK
Practice Address - State:CA
Practice Address - Zip Code:90255-5839
Practice Address - Country:US
Practice Address - Phone:323-585-3332
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-01
Last Update Date:2015-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA49721261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental