Organization
SALAR AND DELISLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEN SALAR (MANAGING MEMBER)
(310) 968-0562
Entity
Organization
Contact information
Practice address
3160 N TRUCKEE LN, SPARKS, NV 89434-1583
(310) 968-0562
Mailing address
3160 N TRUCKEE LN, SPARKS, NV 89434-1583
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
S6-120
NV
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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