Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | DEN.00203052 | CO |
Y | 1223P0300X | Periodontist | DEN.00203052 | CO |
NPI | 1114464716 |
---|---|
Provider Name | Dr. Zaid Al Salman |
First Address | Aurora, CO 80012-4371 |
Second Address | Centennial, CO 80112-1277 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/01/2017 |
Last Update Date | 06/10/2020 |