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Individual

ADAN RAMIREZ SALAZAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
11537 CHESHIRE ST, NORWALK, CA 90650-6332
(562) 271-8106
Mailing address
11537 CHESHIRE ST, NORWALK, CA 90650-6332

Taxonomy

Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
87996
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
87996
CA
Enumeration date
02/09/2018
Last updated
02/09/2018
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