Individual
DR. SALVADOR D ATIENZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
119 SOUTH MAIN, STE 1, MAQUOKETA, IA 52060
(563) 652-4133
Mailing address
119 SOUTH MAIN, STE 1, MAQUOKETA, IA 52060
(563) 652-4133
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7745
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0116848
—
IA
Enumeration date
06/07/2006
Last updated
09/07/2007
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