NPI 1376197848 · live from the CMS NPI Registry
Mariam Samir Abadir
Dentist, General Practice in San Jose, CA. National Provider Identifier 1376197848, active.
NPI record
| NPI | 1376197848 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 1670 Westwood Dr. Suite K, San Jose, CA 95125 |
| Practice phone | 408-826-4676 |
| Mailing address | 620 Iris Ave Apartment #320, Sunnyvale, CA 94086 |
| Enumerated | August 1, 2019 |
| Last updated | August 1, 2019 |
| Sole proprietor | No |
| Other names | Mariam Abadir |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | 103976 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.