Individual
AHMED SALEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9045 BRUCEVILLE RD STE 160, ELK GROVE, CA 95758-5902
(916) 849-3174
Mailing address
9707 BLANSFIELD WAY, ELK GROVE, CA 95757-4021
(916) 849-3174
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
50364
CA
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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