# JUAN CARLOS SALAZAR, DDS, PS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255761599
- **Authorized official:** JUAN CARLOS SALAZAR (PRESIDENT)
- **Authorized official phone:** (425) 226-7287

## Contact information

- **Practice address:** 3200 NE SUNSET BLVD, RENTON, WA 98056-3335
- **Practice address phone:** (425) 228-2555
- **Mailing address:** 6130 NE 7TH CT, RENTON, WA 98059-4590

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DE00010047 | WA | Yes |

## Other

- **Enumeration date:** 11/23/2013
- **Last updated:** 11/23/2013