Provider Demographics
NPI:1154339273
Name:ABAS, PETER NADER (DDS)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:NADER
Last Name:ABAS
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 1:23521 PASEO DE VALENCIA
Mailing Address - Street 2:SUITE 112
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-3107
Mailing Address - Country:US
Mailing Address - Phone:949-586-1127
Mailing Address - Fax:949-586-1129
Practice Address - Street 1:23521 PASEO DE VALENCIA
Practice Address - Street 2:SUITE 112
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-3107
Practice Address - Country:US
Practice Address - Phone:949-586-1127
Practice Address - Fax:949-586-1129
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2015-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA537431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice