Individual
MARIZA RUBI SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
103 AVENIDA DEL GADO, OCEANSIDE, CA 92057
(760) 703-0648
Mailing address
PO BOX 606, SAN LUIS REY, CA 92068-0606
(760) 703-0648
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
63852
CA
Other
Enumeration date
05/05/2009
Last updated
05/05/2009
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