Provider Demographics
NPI:1376851014
Name:CHEEMA, ABIDA T (DDS , MSC (PERIO))
Entity Type:Individual
Prefix:DR
First Name:ABIDA
Middle Name:T
Last Name:CHEEMA
Suffix:
Gender:F
Credentials:DDS , MSC (PERIO)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4408 WILLOW GLEN CT
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94521-4342
Mailing Address - Country:US
Mailing Address - Phone:925-825-5150
Mailing Address - Fax:925-825-5150
Practice Address - Street 1:43625 MISSION BLVD
Practice Address - Street 2:#105 AARISH DENTAL,
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94539-5852
Practice Address - Country:US
Practice Address - Phone:510-520-0137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-15
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA480911223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics