| Salazar Dental Llc | |
|
6219 Bergenline Ave 2nd Fl West New York NJ 07093-1605 | |
| (201) 861-1007 | |
| Not Available |
| Full Name | Salazar Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6219 Bergenline Ave, West New York, New Jersey |
| Authorized Official Name and Position | Maria Jose Salazar (CEO) |
| Authorized Official Contact | 2018611007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Salazar Dental Llc 6219 Bergenline Ave 2nd Fl West New York NJ 07093-1605 Ph: (201) 861-1007 | Salazar Dental Llc 6219 Bergenline Ave 2nd Fl West New York NJ 07093-1605 Ph: (201) 861-1007 |
| NPI Number | 1598045379 |
|---|---|
| Provider Enumeration Date | 08/24/2011 |
| Last Update Date | 08/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598045379 | NPI | - | NPPES |
| 0243779 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22DI024160 (New Jersey) | Primary |
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