Provider Demographics
NPI:1033309554
Name:ABUSLEME, SALIM ANDRES (DDS)
Entity Type:Individual
Prefix:
First Name:SALIM
Middle Name:ANDRES
Last Name:ABUSLEME
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:243 CIVIC CENTER ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94804-1816
Mailing Address - Country:US
Mailing Address - Phone:510-215-7944
Mailing Address - Fax:510-215-1482
Practice Address - Street 1:243 CIVIC CENTER ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94804-1816
Practice Address - Country:US
Practice Address - Phone:510-215-7944
Practice Address - Fax:510-215-1482
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-31
Last Update Date:2007-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37073122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist