Most Relevant Information
Provider Data
| NPI Number: | 1003268459 |
| Provider Name: | AMATUL SALMA |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 019.030689 |
Most Important Dates
| Enumeration Date: | 07/11/2016 |
| Last Updated: | 10/16/2017 |
Provider Practice Location
5301 W FULLERTON AVE
CHICAGO
IL
606391424
Practice Location Phone/Fax
| Phone: | 7736224950 |
| Fax: |
Provider Mailing Location
5301 W FULLERTON AVE
CHICAGO
IL
606391424
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |