Individual
OMAR SALEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
450 N MAIN ST, SHARON, MA 02067-1172
(781) 784-6464
Mailing address
450 N MAIN ST, SHARON, MA 02067-1172
(781) 784-6464
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
21358
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X09203
BCBS - DENTAL
MA
Enumeration date
03/17/2006
Last updated
10/06/2009
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