Mariam Samir Abadir
Dentist, General Practice in San Jose, CA. Individual provider (NPI-1).
NPI number1376197848
StatusActive
Last updated in NPPESAug 1, 2019
Details
- NPI
- 1376197848
- Entity type
- Individual (NPI-1)
- Name
- Mariam Samir Abadir
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 1, 2019
- Last updated
- Aug 1, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 103976 | CA | Yes |
Other names
- Mariam Samir Abadir (Professional Name)
Practice location
1670 Westwood Dr. Suite KSan Jose, CA 95125
Phone 408-826-4676
Mailing address
620 Iris Ave Apartment #320Sunnyvale, CA 94086
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