Individual
DR. EDGAR F SALAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1131 TOLLAND TPKE STE J, MANCHESTER, CT 06042-1679
(860) 533-7270
Mailing address
1131 TOLLAND TPKE STE J, MANCHESTER, CT 06042-1679
(860) 533-7270
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11040
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004011136
—
CT
Enumeration date
06/26/2012
Last updated
08/22/2013
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