Provider Demographics
NPI:1902826183
Name:ABED, NEJLEH T (DDS)
Entity Type:Individual
Prefix:DR
First Name:NEJLEH
Middle Name:T
Last Name:ABED
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2016 FOREST AVE
Mailing Address - Street 2:STE.#4
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-4804
Mailing Address - Country:US
Mailing Address - Phone:408-298-0404
Mailing Address - Fax:408-298-2233
Practice Address - Street 1:2016 FOREST AVE
Practice Address - Street 2:STE.#4
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-4804
Practice Address - Country:US
Practice Address - Phone:408-298-0404
Practice Address - Fax:408-298-2233
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA314381223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice