Individual
DR. SHAYAN SALIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
1903 E FIR AVE STE 101, FRESNO, CA 93720-3862
(480) 650-2323
Mailing address
1903 E FIR AVE STE 101, FRESNO, CA 93720-3862
(480) 650-2323
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
65191
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65191
—
CA
Enumeration date
04/27/2015
Last updated
07/18/2022
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