Organization
MIRHAMID SALEK, DDS, PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIRHAMID SALEK DDS (PRESIDENT)
(626) 644-8618
Entity
Organization
Contact information
Practice address
628 N AZUSA AVE, WEST COVINA, CA 91791-1148
(626) 966-8408
Mailing address
1021 CALLE SONRISA, GLENDALE, CA 91208-3036
(626) 644-8618
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
64405
CA
261QD0000X
Dental Clinic/Center
Primary
DE60319906
WA
Other
Enumeration date
10/03/2017
Last updated
10/03/2017
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