Provider Demographics
NPI:1669656625
Name:SALMAN DENTAL
Entity Type:Organization
Organization Name:SALMAN DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASAD
Authorized Official - Middle Name:HANI
Authorized Official - Last Name:SALMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:760-252-4488
Mailing Address - Street 1:927 ARMORY RD
Mailing Address - Street 2:
Mailing Address - City:BARSTOW
Mailing Address - State:CA
Mailing Address - Zip Code:92311-5460
Mailing Address - Country:US
Mailing Address - Phone:760-252-4488
Mailing Address - Fax:760-252-7700
Practice Address - Street 1:927 ARMORY RD
Practice Address - Street 2:
Practice Address - City:BARSTOW
Practice Address - State:CA
Practice Address - Zip Code:92311-5460
Practice Address - Country:US
Practice Address - Phone:760-252-4488
Practice Address - Fax:760-252-7700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-26
Last Update Date:2007-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48673261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental