Provider Demographics
NPI:1376224824
Name:DRS. AHMED SALEM AND WALEED SOLIMAN DENTAL CORPORATION
Entity Type:Organization
Organization Name:DRS. AHMED SALEM AND WALEED SOLIMAN DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
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 1:3538 G ST
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340-0691
Practice Address - Country:US
Practice Address - Phone:916-849-3174
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DRS AHMED SALEM AND WALEED SOLIMAN DENTAL CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-07-27
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty