Individual
DALE SALOMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
14815 N DALE MABRY HWY, TAMPA, FL 33618-2027
(813) 264-1993
Mailing address
7720 W WATERS AVE, TAMPA, FL 33615-1813
(813) 885-6555
(813) 882-8018
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN15354
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079265900
—
FL
Enumeration date
09/05/2006
Last updated
01/28/2019
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