Provider Demographics
NPI:1558490862
Name:AL-SALEH, HANI (DMD)
Entity Type:Individual
Prefix:DR
First Name:HANI
Middle Name:
Last Name:AL-SALEH
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 1:28 STREET OF DREAMS
Mailing Address - Street 2:
Mailing Address - City:MARTINSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:25403-1135
Mailing Address - Country:US
Mailing Address - Phone:304-267-8702
Mailing Address - Fax:304-263-2787
Practice Address - Street 1:28 STREET OF DREAMS
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25403-1135
Practice Address - Country:US
Practice Address - Phone:304-267-8702
Practice Address - Fax:304-263-2787
Is Sole Proprietor?:No
Enumeration Date:2007-03-04
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV3800122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist