Individual
JUAN CARLOS E SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3200 NE SUNSET BLVD, RENTON, WA 98056-3335
(425) 228-2555
Mailing address
6130 NE 7TH CT, RENTON, WA 98059-4590
(425) 306-7321
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE00010047
WA
1223G0001X
General Practice Dentistry
Primary
DE00010047
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0042374788
—
CT
05
—
5049044
—
WA
Enumeration date
11/02/2006
Last updated
04/03/2025
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