Provider Demographics
NPI:1639413628
Name:RULA A. AL-SALTI DDS.INC
Entity Type:Organization
Organization Name:RULA A. AL-SALTI DDS.INC
Other - Org Name:RULA SALTI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RULA
Authorized Official - Middle Name:A
Authorized Official - Last Name:AL-SALTI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:626-392-1719
Mailing Address - Street 1:701 W VALLEY BLVD STE 76
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91803-3243
Mailing Address - Country:US
Mailing Address - Phone:626-872-6301
Mailing Address - Fax:626-320-8500
Practice Address - Street 1:701 W VALLEY BLVD STE 76
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91803-3243
Practice Address - Country:US
Practice Address - Phone:626-872-6301
Practice Address - Fax:626-320-8500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-15
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53815122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty