Individual
DR. RUWAYDAH SHALASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2708 CLEMSON RD STE A, COLUMBIA, SC 29229-8264
(803) 830-5972
Mailing address
8410 DATAPOINT DR, SAN ANTONIO, TX 78229-3220
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10140
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2020
Last updated
04/26/2022
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