Individual
BRIAN CARTER SALOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7598 N MESA, SUITE A, EL PASO, TX 79912-3518
(915) 584-4472
(915) 581-0737
Mailing address
7598 N MESA, SUITE A, EL PASO, TX 79912-3518
(915) 584-4472
(915) 581-0737
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21306
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01483513
UNITED CONCORDIA
—
01
—
D21306
BCBS
—
Enumeration date
10/05/2006
Last updated
11/20/2023
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