Individual
DR. FAHD ALSALLEEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.D.S, M.S, PH.D
Contact information
Practice address
40TH & HOLDREGE ST, COLLEGE OF DENTISTRY, UNIVERSITY DENTAL ASSOCIATES, LINCOLN, NE 68583
(402) 472-8900
(402) 472-0048
Mailing address
40TH & HOLDREGE ST, COLLEGE OF DENTISTRY, UNIVERSITY DENTAL ASSOCIATES, LINCOLN, NE 68583
(402) 472-8900
(402) 472-0048
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
117
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
470789985
UNIVERSITY DENTAL ASSOCIATES
—
Enumeration date
10/18/2010
Last updated
10/18/2010
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