Provider Demographics
NPI:1750462339
Name:AL SALMAN, RAJIHA K (DDS)
Entity Type:Individual
Prefix:
First Name:RAJIHA
Middle Name:K
Last Name:AL SALMAN
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 1:5950 N OAK TRFY STE 103
Mailing Address - Street 2:
Mailing Address - City:GLADSTONE
Mailing Address - State:MO
Mailing Address - Zip Code:64118-5164
Mailing Address - Country:US
Mailing Address - Phone:816-436-5558
Mailing Address - Fax:816-455-5523
Practice Address - Street 1:5950 N OAK TRFY STE 103
Practice Address - Street 2:
Practice Address - City:GLADSTONE
Practice Address - State:MO
Practice Address - Zip Code:64118-5164
Practice Address - Country:US
Practice Address - Phone:816-436-5558
Practice Address - Fax:816-455-5523
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0153581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice