Provider Demographics
NPI:1912261116
Name:WAHEDI, ABDUL MAJID (DDS)
Entity Type:Individual
Prefix:
First Name:ABDUL MAJID
Middle Name:
Last Name:WAHEDI
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 1:34563 PUEBLO TER
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94555-2867
Mailing Address - Country:US
Mailing Address - Phone:949-202-9227
Mailing Address - Fax:
Practice Address - Street 1:34563 PUEBLO TER
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94555-2867
Practice Address - Country:US
Practice Address - Phone:949-202-9227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-02
Last Update Date:2012-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA613991223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice