Individual
ROGER SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
966 W 21ST ST, CHICAGO, IL 60608-4511
(773) 254-1400
Mailing address
901 S ASHLAND AVE APT 214, CHICAGO, IL 60607-4082
(480) 277-6236
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
019.034362
IL
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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