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General NPI Number Information
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NPI Number | 1205476207
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Entity Type | Organization
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Legal Business Name | DRS SALEM AND SOLIMAN DENTAL CORP
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Dates
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Enumeration Date | 01/08/2020
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Last Update Date | 05/15/2020
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Provider Practice Location Address
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Address Line | 1021 S MAIN ST
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City | MANTECA
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State | CA
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Zip | 95337-5703
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Country | US
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Telephone | 209-250-2600
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Fax | 209-250-2707
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Provider Business Mailing Address
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Address Line | 1021 S MAIN ST
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City | MANTECA
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State | CA
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Zip | 95337-5703
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Country | US
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Telephone | 209-250-2600
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Fax | 209-250-2707
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Authorized Official
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Title or Position | OWNER
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Name | DR. AHMED F SALEM
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Credential | DDS, CEO
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Telephone | 916-849-3174
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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