Provider Demographics
NPI:1346422771
Name:ABED, GEORGE SOLIMAN (DMD, MS)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:SOLIMAN
Last Name:ABED
Suffix:
Gender:M
Credentials:DMD, MS
Other - Prefix:DR
Other - First Name:GEORGE
Other - Middle Name:ABED
Other - Last Name:ABDELSHEHID
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD, MS
Mailing Address - Street 1:160 CORSON ST
Mailing Address - Street 2:228
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91103-3856
Mailing Address - Country:US
Mailing Address - Phone:617-834-7683
Mailing Address - Fax:
Practice Address - Street 1:160 CORSON ST
Practice Address - Street 2:228
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91103-3856
Practice Address - Country:US
Practice Address - Phone:617-834-7683
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-27
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550041223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics