Provider Demographics
NPI:1841406204
Name:ABDO, ABDO NABIH (DDS)
Entity Type:Individual
Prefix:DR
First Name:ABDO
Middle Name:NABIH
Last Name:ABDO
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 1:2448 W WHITTIER BLVD
Mailing Address - Street 2:
Mailing Address - City:LA HABRA
Mailing Address - State:CA
Mailing Address - Zip Code:90631-3407
Mailing Address - Country:US
Mailing Address - Phone:562-694-0553
Mailing Address - Fax:562-694-8232
Practice Address - Street 1:2448 W WHITTIER BLVD
Practice Address - Street 2:
Practice Address - City:LA HABRA
Practice Address - State:CA
Practice Address - Zip Code:90631-3407
Practice Address - Country:US
Practice Address - Phone:562-694-0553
Practice Address - Fax:562-694-8232
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46718122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist