Provider Demographics
NPI:1326729401
Name:DRS SALEM AND SOLIMAN DENTAL CORP
Entity Type:Organization
Organization Name:DRS SALEM AND SOLIMAN DENTAL CORP
Other - Org Name:KIDS SMILE DENTAL AND ORTHODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:
Authorized Official - Last Name:SALEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-849-3174
Mailing Address - Street 1:9707 BLANSFIELD WAY
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95757-4021
Mailing Address - Country:US
Mailing Address - Phone:916-849-3174
Mailing Address - Fax:
Practice Address - Street 1:441 COLUSA AVE STE C
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-4143
Practice Address - Country:US
Practice Address - Phone:916-849-3174
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DRS SALEM AND SOLIMAN DENTAL CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-07-31
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty
No1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty