Provider Demographics
NPI:1275972986
Name:SALEM, MUNTHER Z (DDS)
Entity Type:Individual
Prefix:DR
First Name:MUNTHER
Middle Name:Z
Last Name:SALEM
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 1:10735 E DORIC CIR
Mailing Address - Street 2:
Mailing Address - City:PALOS HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60465-2243
Mailing Address - Country:US
Mailing Address - Phone:708-307-5072
Mailing Address - Fax:
Practice Address - Street 1:10735 E DORIC CIR
Practice Address - Street 2:
Practice Address - City:PALOS HILLS
Practice Address - State:IL
Practice Address - Zip Code:60465-2243
Practice Address - Country:US
Practice Address - Phone:708-307-5072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-17
Last Update Date:2013-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190294321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice