Individual
MANUEL ANGEL SALCIDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1959 E GEORGINA ST, SAN LUIS, AZ 85349
(929) 627-2758
Mailing address
1959 E GEORGINA ST, SAN LUIS, AZ 85349
(928) 627-2758
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
15-315
CA
Other
Enumeration date
05/01/2015
Last updated
05/01/2015
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