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General NPI Number Information
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NPI Number | 1013266246
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Entity Type | Organization
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Legal Business Name | DAVID SALAH DDS PC
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Dates
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Enumeration Date | 09/04/2012
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Last Update Date | 09/04/2012
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Provider Practice Location Address
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Address Line | 21580 NOVI RD SUITE 100
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City | NOVI
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State | MI
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Zip | 48375-5600
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Country | US
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Telephone | 248-349-7560
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Fax |
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Provider Business Mailing Address
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Address Line | 21580 NOVI RD SUITE 100
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City | NOVI
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State | MI
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Zip | 48375-5600
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Country | US
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Telephone | 248-349-7560
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Fax |
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Authorized Official
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Title or Position | OWNER ,PRESIDENT
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Name | DR. DAVID SALAH
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Credential | DDS
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Telephone | 248-349-7560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2901016504
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License Number State | MI
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