Provider Demographics
NPI:1942847033
Name:SALMAN, YVONNE MOHAMMED (DDS)
Entity type:Individual
Prefix:DR
First Name:YVONNE
Middle Name:MOHAMMED
Last Name:SALMAN
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 1:1263 FULTON AVE APT 90
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-7327
Mailing Address - Country:US
Mailing Address - Phone:773-717-4201
Mailing Address - Fax:
Practice Address - Street 1:8324 ELK GROVE FLORIN RD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95829-9546
Practice Address - Country:US
Practice Address - Phone:916-509-3335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-08
Last Update Date:2019-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA104570122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist