Individual
DR. MARTIN R SALAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2001 WEAT WASHINGTON ST., STE B2, INDIANAPOLIS, IN 46222
(317) 636-2002
Mailing address
5106 STANHOPE LN, INDIANAPOLIS, IN 46254-9572
(317) 298-3432
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019027139
IL
1223G0001X
General Practice Dentistry
12010930A
IN
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12010930A
IN
Other
Enumeration date
12/26/2006
Last updated
02/22/2021
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