Individual provider · NPI-1

Alison Abernathy, R.D.A.

Dental Assistant · Los Angeles, CA

NPI number1174919088
StatusActive
Last updated in NPPESApr 8, 2015

Details

NPI
1174919088
Entity type
Individual (NPI-1)
Name
Alison Abernathy
Credential
R.D.A.
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 8, 2015
Last updated
Apr 8, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
126800000X Dental Assistant26673CAYes

Practice location

4648 W Avenue 41
Los Angeles, CA 90065-4908

Phone 323-316-4665

Mailing address

4648 W Avenue 41
Los Angeles, CA 90065-4908

Phone 323-316-4665

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