Organization
DENTASPA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAITHAM AL-SALMAN DDS (OWNER)
(909) 471-3670
Entity
Organization
Contact information
Practice address
2960 INTERSTATE 45 N STE 300, CONROE, TX 77303-7912
(909) 471-3670
(210) 447-7088
Mailing address
2960 INTERSTATE 45 N STE 300, CONROE, TX 77303-7912
(909) 471-3670
(210) 447-7088
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
Other
Enumeration date
12/21/2018
Last updated
10/28/2022
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