IndividualActive
Abigail Alyssa Manahan
NPI 1326706268 · Dentist · Moreno Valley, CA
Provider details
- NPI number
- 1326706268
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- DDS106983 (CA)
Specialties & taxonomies
Dental Providers
Practice location
24021 Alessandro Blvd Ste A120
Moreno Valley, CA 92553-6710
Phone: (951) 242-3328
Fax: (951) 924-1134
Approximate (ZIP-level) locationGet directions
Mailing address
11160 Richie Circle Apt B
Loma Linda, CA 92354-2951
Registry dates
- Enumerated
- 2021-12-07
- Last updated
- 2021-12-07
- Certified
- 2021-11-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.