Provider Demographics
NPI:1285828657
Name:SALIB, MARLENE KAMAL (DDS)
Entity Type:Individual
Prefix:
First Name:MARLENE
Middle Name:KAMAL
Last Name:SALIB
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 1:6742 GREENLEAF AVE
Mailing Address - Street 2:#300
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90601
Mailing Address - Country:US
Mailing Address - Phone:562-945-1684
Mailing Address - Fax:562-696-6454
Practice Address - Street 1:6742 GREENLEAF AVE
Practice Address - Street 2:#300
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90601
Practice Address - Country:US
Practice Address - Phone:562-945-1684
Practice Address - Fax:562-696-6454
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-29
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45005122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist