Provider Demographics
NPI:1447307756
Name:ABAJIAN, JOHN M (DDS)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:M
Last Name:ABAJIAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1901 N. SOLAR DR.
Mailing Address - Street 2:SUITE #135
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036
Mailing Address - Country:US
Mailing Address - Phone:805-988-2250
Mailing Address - Fax:805-988-2252
Practice Address - Street 1:1901 SOLAR DR
Practice Address - Street 2:SUITE #205
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-2641
Practice Address - Country:US
Practice Address - Phone:805-988-2250
Practice Address - Fax:805-988-2252
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA363291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice