Provider Demographics
NPI:1700584448
Name:SALEH, YAHYA ALI (DOCTOR OF DENTAL SUR)
Entity Type:Individual
Prefix:
First Name:YAHYA
Middle Name:ALI
Last Name:SALEH
Suffix:
Gender:M
Credentials:DOCTOR OF DENTAL SUR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6634 BINZ ENGLEMAN RD STE 109
Mailing Address - Street 2:
Mailing Address - City:CONVERSE
Mailing Address - State:TX
Mailing Address - Zip Code:78109-1079
Mailing Address - Country:US
Mailing Address - Phone:210-450-3700
Mailing Address - Fax:
Practice Address - Street 1:6634 BINZ ENGLEMAN RD STE 109
Practice Address - Street 2:
Practice Address - City:CONVERSE
Practice Address - State:TX
Practice Address - Zip Code:78109-1079
Practice Address - Country:US
Practice Address - Phone:210-568-7898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-22
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX397281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty