Organization
SYLVIA SALEM DDS,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NELLIE M MEMBRENO RDA (FRONT OFFICE/MANAGER)
(626) 332-7311
Entity
Organization
Contact information
Practice address
650 S 1ST AVE, COVINA, CA 91723-3538
(626) 332-7311
(626) 332-0052
Mailing address
650 S FIRST AVE, COVINA, CA 91723
(626) 332-7311
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
47170
CA
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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