Provider Demographics
NPI:1902288897
Name:DAVID A ABRAMS D.M.D. A DENTAL CORPORATION
Entity Type:Organization
Organization Name:DAVID A ABRAMS D.M.D. A DENTAL CORPORATION
Other - Org Name:DAVID A. ABRAMS D.M.D.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:ABRAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:323-728-0241
Mailing Address - Street 1:6451 WHITTIER BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90022-4627
Mailing Address - Country:US
Mailing Address - Phone:323-728-0241
Mailing Address - Fax:323-728-7873
Practice Address - Street 1:6451 WHITTIER BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90022-4627
Practice Address - Country:US
Practice Address - Phone:323-728-0241
Practice Address - Fax:323-728-7873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-26
Last Update Date:2015-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30198261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental