Provider Demographics
NPI:1134354491
Name:SELMAN, ANAS (DDS)
Entity type:Individual
Prefix:DR
First Name:ANAS
Middle Name:
Last Name:SELMAN
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 1:3725 S OCEAN DR
Mailing Address - Street 2:1008
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33019-2926
Mailing Address - Country:US
Mailing Address - Phone:917-557-8537
Mailing Address - Fax:954-379-4424
Practice Address - Street 1:3725 S OCEAN DR
Practice Address - Street 2:1008
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33019-2926
Practice Address - Country:US
Practice Address - Phone:917-557-8537
Practice Address - Fax:954-379-4424
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-15
Last Update Date:2009-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN185961223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics