Individual
AHMED ALSALLAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6790 W LAYTON AVE, STE C, GREENFIELD, WI 53220
(414) 285-7929
(414) 285-7930
Mailing address
6790 W LAYTON AVE, STE C, GREENFIELD, WI 53220
(414) 285-7929
(414) 285-7930
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6001024-15
WI
1223G0001X
General Practice Dentistry
Primary
6001024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100208771
—
WI
Enumeration date
07/12/2022
Last updated
11/07/2024
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