Provider Demographics
NPI:1992374037
Name:ELWAZEER, SALMA (BDS, MDS, MPH)
Entity Type:Individual
Prefix:
First Name:SALMA
Middle Name:
Last Name:ELWAZEER
Suffix:
Gender:F
Credentials:BDS, MDS, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5583 BUCKLEY DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-6419
Mailing Address - Country:US
Mailing Address - Phone:224-409-7616
Mailing Address - Fax:
Practice Address - Street 1:5001 EL PASO DRIVE, MSC 24001
Practice Address - Street 2:TTUHSC, WOODY L. HUNT SCHOOL OF DENTAL MEDICINE
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79905
Practice Address - Country:US
Practice Address - Phone:224-409-7616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-23
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX370741223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0001XDental ProvidersDentistDental Public Health