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General NPI Number Information
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NPI Number | 1326729401
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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 | 07/31/2023
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Last Update Date | 08/03/2023
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Provider Practice Location Address
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Address Line | 441 COLUSA AVE STE C
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City | YUBA CITY
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State | CA
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Zip | 95991-4143
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Country | US
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Telephone | 916-849-3174
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Fax |
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Provider Business Mailing Address
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Address Line | 9707 BLANSFIELD WAY
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City | ELK GROVE
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State | CA
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Zip | 95757-4021
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Country | US
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Telephone | 916-849-3174
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. AHMED SALEM
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Credential |
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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