NPI 1114475845 · live from the CMS NPI Registry
Tigon Abalos, DDS
Dentist, General Practice in Visalia, CA. National Provider Identifier 1114475845, active.
NPI record
| NPI | 1114475845 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 401 E School Ave, Visalia, CA 93291 |
| Practice phone | 877-960-3426 |
| Mailing address | 305 E Center Ave, Visalia, CA 93291 |
| Enumerated | September 11, 2016 |
| Last updated | September 20, 2016 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | 100839 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.