Individual
ISLAM ABUSALUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2824 ROGERS RD STE 103, WAKE FOREST, NC 27587-3896
(917) 714-6985
Mailing address
2824 ROGERS RD STE 103, WAKE FOREST, NC 27587-3896
(917) 714-6985
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13502
NC
Other
Enumeration date
10/04/2022
Last updated
12/25/2023
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