Provider Demographics
NPI:1427392521
Name:ABDOU, KARAM (DDS)
Entity Type:Individual
Prefix:DR
First Name:KARAM
Middle Name:
Last Name:ABDOU
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 CENTER CT
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94506-1186
Mailing Address - Country:US
Mailing Address - Phone:925-915-0550
Mailing Address - Fax:
Practice Address - Street 1:105 CENTER CT
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94506-1186
Practice Address - Country:US
Practice Address - Phone:925-915-0550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-15
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36330122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist