Salama Dental Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D52434 Issued in CA

Legal business name

SALAMA DENTAL INC

Practice address

31093 Riverside Dr
Lake Elsinore, CA 92530-7876

Phone

(951) 457-7330

NPI assigned

Aug 30, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Wasfi Fouad Salama, DDSNPI 1013101591

Title

Owner

Phone

(661) 220-0165

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wasfi Fouad Salama, DDS

  • Dentist
  • Bakersfield, CA
  • NPI 1013101591
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504051200000",
    "number": "1255859237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 MONT BLANC TER",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933067561",
            "telephone_number": "661-220-0165",
            "fax_number": "661-326-8536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31093 RIVERSIDE DR",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925307876",
            "telephone_number": "951-457-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALAMA DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-30",
        "last_updated": "2017-08-30",
        "status": "A",
        "authorized_official_last_name": "SALAMA",
        "authorized_official_first_name": "WASFI",
        "authorized_official_middle_name": "FOUAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-220-0165",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "D52434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Lake Elsinore, CA
• Providers in Lake Elsinore, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.