Provider Demographics
NPI:1689380222
Name:ABDUL KARIM, DAWN AGUSTINES (DDS)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:AGUSTINES
Last Name:ABDUL KARIM
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:JACOBE
Other - Last Name:AGUSTINES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1838 SUNNY HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90065-3323
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4201 WILSHIRE BLVD STE 112
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90010-3602
Practice Address - Country:US
Practice Address - Phone:323-939-9898
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-26
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1081201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice