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Individual

JOSEPH SALATA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
800 S MILWAUKEE AVE STE 103, LIBERTYVILLE, IL 60048-3268
(847) 918-6654
Mailing address
1227 OAK TRAIL DR, LIBERTYVILLE, IL 60048-3410

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019033289
IL

Other

Enumeration date
07/02/2021
Last updated
07/02/2021
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