Individual
MRS. KAIYRA SALCIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
CS00217806
NM
122300000X
Dentist
Primary
DD3663
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02151570
—
NM
Enumeration date
06/21/2012
Last updated
07/21/2020
Update your record
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