Provider Demographics
NPI:1841248580
Name:ABARI, MOHSEN 'ROBIN' F (DDS)
Entity type:Individual
Prefix:DR
First Name:MOHSEN 'ROBIN'
Middle Name:F
Last Name:ABARI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:ROBIN
Other - Middle Name:F
Other - Last Name:ABARI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:1111 W. COVINA BLVD.
Mailing Address - Street 2:SUITE 230
Mailing Address - City:SAN DIMAS
Mailing Address - State:CA
Mailing Address - Zip Code:91773
Mailing Address - Country:US
Mailing Address - Phone:909-599-4000
Mailing Address - Fax:909-305-0840
Practice Address - Street 1:1111 W COVINA BLVD
Practice Address - Street 2:SUITE 230
Practice Address - City:SAN DIMAS
Practice Address - State:CA
Practice Address - Zip Code:91773-3205
Practice Address - Country:US
Practice Address - Phone:909-599-4000
Practice Address - Fax:909-305-0840
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA303511223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics