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General NPI Number Information
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NPI Number | 1427157247
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Entity Type | Individual
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Provider Name | KEITH M. ABE DDS
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Gender | Male
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 09/27/2013
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Provider Practice Location Address
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Address Line | 485 SOUTH DR
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-4202
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Country | US
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Telephone | 650-961-4492
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Fax | 650-745-4144
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Provider Business Mailing Address
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Address Line | 485 SOUTH DR STE A
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-4202
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Country | US
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Telephone | 650-961-4492
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Fax | 650-745-4144
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 38242
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License Number State | CA
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