Individual
SALAM ALSADIQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BDS
Contact information
Practice address
29777 TELEGRAPH RD STE 3000, SOUTHFIELD, MI 48034-7634
(313) 647-7398
Mailing address
55 DIMOCK ST, ROXBURY, MA 02119-1029
(617) 442-8800
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2901600775
MI
1223P0221X
Pediatric Dentistry
DL13738
MA
1223P0221X
Pediatric Dentistry
DL13958
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S91870275
MA DRIVER'S LICENSE
MA
Enumeration date
01/12/2015
Last updated
09/17/2021
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