Abadesco, Autumn
Abadesco, Autumn is an individual health care provider with primary practice located at 525 N Azusa Ave #112 , La Puente CA 91744. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Abadesco, Autumn can be contacted via phone (510) 332-4148.Contact Information
Primary practice address
525 N Azusa Ave #112
La Puente CA 91744
Phone: (510) 332-4148
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 100414 | California |
Profile Details
| NPI number | 1952857237 |
|---|---|
| LBN Legal business name | Abadesco, Autumn |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 28th, 2016 |
| Last updated | Aug 28th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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