MEDICARE: RAGHAD SALEH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	108432	CA

General Provider Information

NPI Number	:	1770295917
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAGHAD SALEH

Provider Business Mailing Address
First Line	:	9910 GERALD AVE
Second Line	:
City	:	NORTH HILLS
State	:	CA
Zip	:	91343-1128
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9910 GERALD AVE
Second Line	:
City	:	NORTH HILLS
State	:	CA
Zip	:	91343-1128
Country	:	US
Telephone Number	:	818-282-0255
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/20/2022
Last Update Date	:	12/20/2022

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Directions to “ RAGHAD SALEH ” Practice Location

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