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Individual
NASIM SALLOUM
Active
Individual
NASIM SALLOUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
36479
TX
1223G0001X
General Practice Dentistry
DD5306
NM
Other
Enumeration date
08/03/2020
Last updated
05/25/2021
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