Individual
DR. MOHAMMED SALAHUDDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., PH.D.
Contact information
Practice address
1415 PORTLAND AVE, SUITE 590, ROCHESTER, NY 14621-3038
(585) 336-5100
(585) 266-1861
Mailing address
1415 PORTLAND AVE, SUITE 590, ROCHESTER, NY 14621-3038
(585) 336-5100
(585) 266-1861
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
040478
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01011572
—
NY
01
—
100417AT
PREFERRED CARE
NY
01
—
70002MS
BLUE CROSS BLUE SHIELD ME
NY
Enumeration date
09/25/2006
Last updated
07/08/2007
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