| Salama Dental Inc | |
|
31093 Riverside Dr Lake Elsinore CA 92530-7876 | |
| (951) 457-7330 | |
| Not Available |
| Full Name | Salama Dental Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 31093 Riverside Dr, Lake Elsinore, California |
| Authorized Official Name and Position | Wasfi Fouad Salama (OWNER) |
| Authorized Official Contact | 6612200165 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Salama Dental Inc 3405 Mont Blanc Ter Bakersfield CA 93306-7561 Ph: (661) 220-0165 | Salama Dental Inc 31093 Riverside Dr Lake Elsinore CA 92530-7876 Ph: (951) 457-7330 |
| NPI Number | 1255859237 |
|---|---|
| Provider Enumeration Date | 08/30/2017 |
| Last Update Date | 08/30/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255859237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D52434 (California) | Primary |
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