Provider Demographics
NPI:1841638624
Name:DRS SALEM AND SOLIMAN DENTAL CORP
Entity type:Organization
Organization Name:DRS SALEM AND SOLIMAN DENTAL CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:
Authorized Official - Last Name:SALEM
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:916-849-3174
Mailing Address - Street 1:853 PLUMAS ST
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-4010
Mailing Address - Country:US
Mailing Address - Phone:530-329-8208
Mailing Address - Fax:530-763-5628
Practice Address - Street 1:853 PLUMAS ST
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-4010
Practice Address - Country:US
Practice Address - Phone:530-329-8208
Practice Address - Fax:530-763-5628
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DRS SALEM AND SOLIMAN DENTAL CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-06-13
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA503641223P0221X
CA461381223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty