Provider Demographics
NPI:1659433407
Name:ALASWAD, SAMIR (DDS)
Entity Type:Individual
Prefix:DR
First Name:SAMIR
Middle Name:
Last Name:ALASWAD
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8851 GREENBACK LN
Mailing Address - Street 2:
Mailing Address - City:ORANGEVALE
Mailing Address - State:CA
Mailing Address - Zip Code:95662-4058
Mailing Address - Country:US
Mailing Address - Phone:916-988-5559
Mailing Address - Fax:916-988-5936
Practice Address - Street 1:8851 GREENBACK LN
Practice Address - Street 2:
Practice Address - City:ORANGEVALE
Practice Address - State:CA
Practice Address - Zip Code:95662-4058
Practice Address - Country:US
Practice Address - Phone:916-988-5559
Practice Address - Fax:916-988-5936
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA467281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice