Provider Demographics
NPI:1245475490
Name:SALIBA, GEORGE ELIE
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:ELIE
Last Name:SALIBA
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:GEORGE
Other - Middle Name:ELIE
Other - Last Name:SALIBA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:13303 CHAMPION FOREST DR
Mailing Address - Street 2:BUILDING #5
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77069-2657
Mailing Address - Country:US
Mailing Address - Phone:281-444-1755
Mailing Address - Fax:
Practice Address - Street 1:13303 CHAMPION FOREST DR
Practice Address - Street 2:BUILDING #5
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77069-2657
Practice Address - Country:US
Practice Address - Phone:281-444-1755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-02
Last Update Date:2008-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18759122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist