Organization
JUAN CARLOS SALAZAR, DDS, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN CARLOS SALAZAR (PRESIDENT)
(425) 226-7287
Entity
Organization
Contact information
Practice address
3200 NE SUNSET BLVD, RENTON, WA 98056-3335
(425) 228-2555
Mailing address
6130 NE 7TH CT, RENTON, WA 98059-4590
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE00010047
WA
Other
Enumeration date
11/23/2013
Last updated
11/23/2013
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