Provider Demographics
NPI:1699834432
Name:MAYALIDAG, SALIH MURAT (DDS)
Entity type:Individual
Prefix:DR
First Name:SALIH
Middle Name:MURAT
Last Name:MAYALIDAG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6073 N FRESNO ST STE 103
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93710-8614
Mailing Address - Country:US
Mailing Address - Phone:559-432-9988
Mailing Address - Fax:
Practice Address - Street 1:6073 N FRESNO ST STE 103
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-8614
Practice Address - Country:US
Practice Address - Phone:559-432-9988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-07
Last Update Date:2018-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND12068122300000X
CA54593122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist