Provider Demographics
NPI:1376899880
Name:ABDULKARIM, HESHAM H (BDS, MSD)
Entity Type:Individual
Prefix:DR
First Name:HESHAM
Middle Name:H
Last Name:ABDULKARIM
Suffix:
Gender:M
Credentials:BDS, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4545 S UNION AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98409-4532
Mailing Address - Country:US
Mailing Address - Phone:314-644-8796
Mailing Address - Fax:
Practice Address - Street 1:4545 S UNION AVE STE 100
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98409-4532
Practice Address - Country:US
Practice Address - Phone:314-644-8796
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-02
Last Update Date:2015-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE60526649122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist