Individual
SALAM HETOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BDS,MS
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
30.027052
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30.027052
THE OHIO DENTAL BOARD
OH
Enumeration date
03/02/2023
Last updated
03/02/2023
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