Provider Demographics
NPI:1619187598
Name:SALEH, BITA (DDS)
Entity Type:Individual
Prefix:DR
First Name:BITA
Middle Name:
Last Name:SALEH
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 1:2010 EAST 1ST. STREET
Mailing Address - Street 2:SUITE 230
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705
Mailing Address - Country:US
Mailing Address - Phone:714-546-5579
Mailing Address - Fax:714-542-2785
Practice Address - Street 1:2010 EAST 1ST. STREET
Practice Address - Street 2:SUITE 230
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705
Practice Address - Country:US
Practice Address - Phone:714-546-5579
Practice Address - Fax:714-542-2785
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA381261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice