Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 40182 | IA |
NPI | 1083083943 |
---|---|
Provider Name | Salahaldeen Abuhammoud |
First Address | Iowa City, IA 52242-1001 |
Second Address | Iowa City, IA 52242 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2015 |
Last Update Date | 26/07/2018 |