Ronald Cruz Abaro Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

RONALD CRUZ ABARO DENTAL CORPORATION

Practice address

2360 S Azusa Ave Ste B
West Covina, CA 91792-1540

Phone

(626) 839-5010

Fax

(626) 839-5152

NPI assigned

Apr 9, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Faviola Silva

Title

Manager

Phone

(323) 835-6839

Specialties & licenses 1

Addresses

Other names 1

• West Covina Dental Doing business as

Electronic endpoints 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616457600000",
    "number": "1447879507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 S AZUSA AVE STE B",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917921540",
            "telephone_number": "626-839-5010",
            "fax_number": "626-839-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 S AZUSA AVE STE B",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917921540",
            "telephone_number": "626-839-5010",
            "fax_number": "626-839-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD CRUZ ABARO DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-09",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "SILVA",
        "authorized_official_first_name": "FAVIOLA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "323-835-6839"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "favi@ourbestlifeinc.com",
            "affiliation": "N",
            "endpointDescription": "office e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2360 S Azusa Ave Ste B",
            "city": "West Covina",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917921540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "West Covina Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jose Romero
• Orquidia Romero
• Sarah Romero
• Damian Romo
• Jessica M Romo
• Emmanuel Roque
• Erick Roque
• Ashley Rosas Virgen
• Jasmine Rosas
• Marissa Rosas

• Dental Clinic/Center in West Covina, CA
• Providers in West Covina, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.