Individual
DR. RICHARD J. SALM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
S22W22660 EAST BROADWAY, SUITE 2, WAUKESHA, WI 53186
(414) 526-0655
Mailing address
S22W22660 EAST BROADWAY SUITE 2, WAUKESHA, WI 53186
(414) 526-0655
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6060015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6060015
STATE ID #
WI
Enumeration date
03/30/2007
Last updated
09/09/2014
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