Provider Demographics
NPI:1699796029
Name:ABREU, CARLOS C (DMD)
Entity type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:C
Last Name:ABREU
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1712 I ST NW
Mailing Address - Street 2:SUITE #906
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20006-3702
Mailing Address - Country:US
Mailing Address - Phone:202-496-0891
Mailing Address - Fax:202-496-0894
Practice Address - Street 1:1712 I ST NW
Practice Address - Street 2:SUITE #906
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-3702
Practice Address - Country:US
Practice Address - Phone:202-496-0891
Practice Address - Fax:202-496-0894
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC58321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice