Provider Demographics
NPI:1962519801
Name:CABRERA, ERIK D (DDS)
Entity type:Individual
Prefix:DR
First Name:ERIK
Middle Name:D
Last Name:CABRERA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:14435 MORENO BEACH DR.
Mailing Address - Street 2:SUITE 108 A
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92555
Mailing Address - Country:US
Mailing Address - Phone:951-247-6000
Mailing Address - Fax:951-247-6164
Practice Address - Street 1:14435 MORENO BEACH DR
Practice Address - Street 2:SUITE 108 A
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92555
Practice Address - Country:US
Practice Address - Phone:951-247-6000
Practice Address - Fax:951-247-6114
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA409181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice