Provider Demographics
NPI:1386304731
Name:REFAAT, SALMA (DDS)
Entity type:Individual
Prefix:
First Name:SALMA
Middle Name:
Last Name:REFAAT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3711 SIERRAWOOD CT
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94519-1423
Mailing Address - Country:US
Mailing Address - Phone:919-757-2187
Mailing Address - Fax:
Practice Address - Street 1:11344 CEDAR POINTE DR N
Practice Address - Street 2:
Practice Address - City:HOPKINS
Practice Address - State:MN
Practice Address - Zip Code:55305-2987
Practice Address - Country:US
Practice Address - Phone:919-757-2187
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-28
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA107203122300000X
MND14766122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist