Individual
LARA SALEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2901020864
MI
1223P0221X
Pediatric Dentistry
Primary
04401414316
VA
Other
Enumeration date
02/20/2013
Last updated
01/27/2023
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