Individual
SALIA KHAYOUMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
333 SAN MATEO BLVD SE, ALBUQUERQUE, NM 87108-2919
(505) 436-3432
Mailing address
5400 JASONS WAY NE, ALBUQUERQUE, NM 87111-6300
(505) 515-8607
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD4942
NM
Other
Enumeration date
07/08/2018
Last updated
07/08/2018
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