Individual provider · NPI-1

Dr. Mina Abalos, DMD

Dentist · Las Vegas, NV

NPI number1629393467
StatusActive
Last updated in NPPESApr 5, 2010

Details

NPI
1629393467
Entity type
Individual (NPI-1)
Name
Dr. Mina Abalos
Credential
DMD
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 5, 2010
Last updated
Apr 5, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist5989NVYes

Practice location

11763 Longworth Rd
Las Vegas, NV 89135-1322

Phone 714-906-7620

Mailing address

11763 Longworth Rd
Las Vegas, NV 89135-1322

Phone 714-906-7620

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