Provider Demographics
NPI:1033972781
Name:SALIH, ABDULLAH MOHAMMED (DDS)
Entity Type:Individual
Prefix:
First Name:ABDULLAH
Middle Name:MOHAMMED
Last Name:SALIH
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 1:1909 DELACORTE DR
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-1760
Mailing Address - Country:US
Mailing Address - Phone:913-313-1559
Mailing Address - Fax:
Practice Address - Street 1:11120 STOCKDALE HWY STE 103
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-3680
Practice Address - Country:US
Practice Address - Phone:661-665-0080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA109855122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist