# SONRISAS FAMILY DENTAL

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

## Provider details

- **NPI number:** 1801316864
- **Authorized official:** MR. MARTIN SALAZAR D.D.S. (OWNER)
- **Authorized official phone:** (317) 363-4760

## Contact information

- **Practice address:** 3220 N NATIONAL RD, COLUMBUS, IN 47201-3166
- **Practice address phone:** (812) 376-4054
- **Mailing address:** 3220 N NATIONAL RD, COLUMBUS, IN 47201-3166
- **Mailing address phone:** (812) 376-4054

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12010930A | IN | Yes |
| 1223G0001X | General Practice Dentistry | 12011038A | IN | — |

## Other

- **Enumeration date:** 06/21/2017
- **Last updated:** 06/21/2017