MEDICARE: DR. RULA ABDEL HAY AL-SALTI DDS

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
1	122300000X	Dentist	54546	CA

General Provider Information

NPI Number	:	1922293570
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RULA ABDEL HAY AL-SALTI DDS

Provider Business Mailing Address
First Line	:	4917 SERENO DR
Second Line	:
City	:	TEMPLE CITY
State	:	CA
Zip	:	91780-3035
Country	:	US
Telephone Number	:	626-392-1719
Fax Number	:	626-320-8500

Provider Business Practice Location Address
First Line	:	701 W VALLEY BLVD STE 76
Second Line	:
City	:	ALHAMBRA
State	:	CA
Zip	:	91803-3243
Country	:	US
Telephone Number	:	626-692-5909
Fax Number	:	626-320-8500

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/06/2007
Last Update Date	:	08/17/2012

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