Individual
JONATHAN SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
233 LAFAYETTE STREET, NEWARK, NJ 07105
(973) 344-2471
Mailing address
155 CHESTNUT ST, KEARNY, NJ 07032-2417
(201) 600-9519
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02351500
NJ
Other
Enumeration date
03/18/2009
Last updated
03/18/2009
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