NPI 1952857237 · live from the CMS NPI Registry
Autumn Abadesco, DDS
Dentist in La Puente, CA. National Provider Identifier 1952857237, active.
NPI record
| NPI | 1952857237 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 525 N Azusa Ave #112, La Puente, CA 91744 |
| Practice phone | 510-332-4148 |
| Mailing address | 4004 W Avenue 41, Los Angeles, CA 90065 |
| Enumerated | August 28, 2016 |
| Last updated | August 28, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | 100414 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.