Organization
OMAR SALEM DMD MS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR SALEM DMD, MSD (OWNER PRESIDENT)
(508) 588-6500
Entity
Organization
Contact information
Practice address
120 WEST CENTER ST, WEST BRIDGEWATER, MA 02379
(508) 588-6500
(508) 588-6030
Mailing address
120 WEST CENTER ST, WEST BRIDGEWATER, MA 02379
(508) 588-6500
(508) 588-6030
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
21358
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9902870
—
MA
Enumeration date
03/15/2007
Last updated
07/11/2008
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