Individual
DR. TASAMI OMER ABDELSALAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
14296 COUNTRY BREEZE LN, FISHERS, IN 46038-6655
(317) 531-4518
Mailing address
4875 FLOYD RD SW STE 113, MABLETON, GA 30126-1379
(317) 531-4518
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
12012980A
IN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12012980A
GA
Other
Enumeration date
09/07/2018
Last updated
09/12/2024
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