Salazar Family Dental | |
2001 W Washington St Suite B2 Indianapolis IN 46222-4299 | |
(317) 636-2002 | |
(317) 803-3327 |
Full Name | Salazar Family Dental |
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Speciality | Clinic/Center |
Location | 2001 W Washington St, Indianapolis, Indiana |
Authorized Official Name and Position | Martin R Salazar (PRESIDENT) |
Authorized Official Contact | 3173634760 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Salazar Family Dental 2001 W Washington St Suite B2 Indianapolis IN 46222-4299 Ph: (317) 636-2002 | Salazar Family Dental 2001 W Washington St Suite B2 Indianapolis IN 46222-4299 Ph: (317) 636-2002 |
NPI Number | 1427208214 |
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Provider Enumeration Date | 09/29/2008 |
Last Update Date | 03/03/2021 |
Medicare PECOS PAC ID | 3971919291 |
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Medicare Enrollment ID | O20210311002142 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427208214 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Provider Name | Martin R Salazar |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1588729164 PECOS PAC ID: 5799191011 Enrollment ID: I20210311002234 |
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