Individual
BYAN SALEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
61 W CHELTEN AVE, PHILADELPHIA, PA 19144-2701
(212) 713-2626
Mailing address
350 N CLARK ST STE 600, CHICAGO, IL 60654-4782
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS041585
PA
Other
Enumeration date
06/11/2017
Last updated
01/24/2018
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