Whalio Doctors

NPI 1154760932

John Salek-Raham, MDDDS

Practitioner Oral & Maxillofacial Surgery (D.M.D.) North Oaks, MN

Practice location

Address
700 Village Center Dr. STE 170, North Oaks, MN 55127-3025
Phone
(651) 482-0065
Fax
(651) 482-6144

Registered specialties (4)

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 67345 (MN)
Oral and Maxillofacial Surgery (Dentist)
Dental Providers Taxonomy 1223S0112X Licence 2901021011 (MI)
Oral and Maxillofacial Surgery (Dentist)
Dental Providers Taxonomy 1223S0112X Licence S157 (MN)
Oral & Maxillofacial Surgery (D.M.D.)
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 4301119400 (MI)

Registry record

NPI
1154760932
Entity type
Individual
Sex (as registered)
Male
NPI issued
14 Jun 2013
Record last updated
20 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.