Healthcare Provider Details

I. General information

NPI: 1326729401
Provider Name (Legal Business Name): DRS SALEM AND SOLIMAN DENTAL CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2023
Last Update Date: 08/03/2023
Certification Date: 08/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

441 COLUSA AVE STE C
YUBA CITY CA
95991-4143
US

IV. Provider business mailing address

9707 BLANSFIELD WAY
ELK GROVE CA
95757-4021
US

V. Phone/Fax

Practice location:
  • Phone: 916-849-3174
  • Fax:
Mailing address:
  • Phone: 916-849-3174
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. AHMED SALEM
Title or Position: CEO
Credential:
Phone: 916-849-3174