Provider Demographics
NPI:1518632769
Name:DAR, AMEEN SALEEM (DMD)
Entity Type:Individual
Prefix:DR
First Name:AMEEN
Middle Name:SALEEM
Last Name:DAR
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6050 N CENTRAL EXPY APT 1709
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-5470
Mailing Address - Country:US
Mailing Address - Phone:832-494-7602
Mailing Address - Fax:
Practice Address - Street 1:4767 VISTA WOODS BLVD STE 110
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75232-1355
Practice Address - Country:US
Practice Address - Phone:214-451-3181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-10
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37715122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist