Individual
NAIROUZ ABDELSALAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4817 RIVER RD N, KEIZER, OR 97303-4537
(503) 874-4560
Mailing address
1221 DIVISION ST APT 240, NASHVILLE, TN 37203-4452
(215) 279-3777
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
10851
TN
1223P0221X
Pediatric Dentistry
Primary
D11386
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/25/2016
Last updated
04/30/2021
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