Healthcare Provider Details

I. General information

NPI: 1376851014
Provider Name (Legal Business Name): ABIDA T CHEEMA DDS , M.SC. (PERIO)
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2010
Last Update Date: 09/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43625 MISSION BLVD #105 AARISH DENTAL,
FREMONT CA
94539-5852
US

IV. Provider business mailing address

4408 WILLOW GLEN CT
CONCORD CA
94521-4342
US

V. Phone/Fax

Practice location:
  • Phone: 510-520-0137
  • Fax:
Mailing address:
  • Phone: 925-825-5150
  • Fax: 925-825-5150

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number48091
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: