NPI 1104992148 · live from the CMS NPI Registry
Al R Abad, DDS
Dentist, General Practice in San Jose, CA. National Provider Identifier 1104992148, active.
NPI record
| NPI | 1104992148 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 2664 Berryessa Rd, Suite #212, San Jose, CA 95132 |
| Practice phone | 408-272-3809 |
| Enumerated | November 28, 2006 |
| Last updated | February 5, 2008 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | 39588 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.