Organization
SALAZAR DENTAL OF INDIANA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN R SALAZAR (DOCTOR)
(317) 636-2002
Entity
Organization
Contact information
Practice address
2015 W WASHINGTON ST STE B2, INDIANAPOLIS, IN 46222-4652
(317) 636-2002
(317) 803-3327
Mailing address
2015 W WASHINGTON ST STE B2, INDIANAPOLIS, IN 46222-4652
(317) 636-2002
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588729164
—
IN
Enumeration date
02/03/2025
Last updated
02/03/2025
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