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NPI Code Detail

MEDICARE: AFRA SALEH D.D.S.,

MEDICARE: AFRA SALEH D.D.S.,
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
1122300000XDentist32412TX
21223X0400XOrthodontics and Dentofacial Orthopedics Dentistry32412TX

General Provider Information

NPI Number : 1770032930
Entity Type Code : Individual
Provider Name (Legal Business Name) : AFRA SALEH D.D.S.,
Provider Business Mailing Address
First Line : 2470 ELECTRA DR
Second Line :
City : ALLEN
State : TX
Zip : 75013-5556
Country : US
Telephone Number : 310-218-7154
Fax Number :
Provider Business Practice Location Address
First Line : 1717 AIRPORT FWY
Second Line :
City : BEDFORD
State : TX
Zip : 76021-5731
Country : US
Telephone Number : 817-540-2223
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2016
Last Update Date : 05/03/2023

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Directions to “ AFRA SALEH D.D.S.,” Practice Location

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