Provider Demographics
NPI:1053450155
Name:ATTO, SAMAR SALIM (DDS)
Entity Type:Individual
Prefix:PROF
First Name:SAMAR
Middle Name:SALIM
Last Name:ATTO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1252 BROADWAY
Mailing Address - Street 2:SUITE B
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92021-4901
Mailing Address - Country:US
Mailing Address - Phone:619-440-0876
Mailing Address - Fax:619-440-9933
Practice Address - Street 1:1252 BROADWAY
Practice Address - Street 2:SUITE B
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92021-4901
Practice Address - Country:US
Practice Address - Phone:619-440-0876
Practice Address - Fax:619-440-9933
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA480791223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice