Individual
DR. NORMAN NICHOLAS SALOME JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5718 BALCONES DR, AUSTIN, TX 78731-4204
(512) 458-4103
Mailing address
5718 BALCONES DR, AUSTIN, TX 78731-4204
(512) 458-4103
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
20716
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
20716
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149328001
—
TX
01
—
149328002
CIDC
TX
Enumeration date
10/28/2006
Last updated
01/21/2022
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