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Contact Information

MINA ABALOS, DMD
11763 LONGWORTH RD
LAS VEGAS, NV89135-1322
 Phone: 714-906-7620
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for MINA ABALOS · (Female)

NPI # 1629393467
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 04/05/2010
Last updated 04/05/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • NV License # 5989
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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