# DR. FAHD ALSALLEEH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1417267063
- **Gender:** Man
- **Credential:** B.D.S, M.S, PH.D

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 117 | NE | Yes |

## Other

- **Enumeration date:** 10/18/2010
- **Last updated:** 10/18/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 470789985 | UNIVERSITY DENTAL ASSOCIATES | — |