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MARITZA IAMALETTE SALVO-ALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
122 GRANT ST, NILES, MI 49120-2281
(269) 262-4364
(269) 340-5981
Mailing address
122 GRANT ST, NILES, MI 49120-2281
(269) 262-4364
(269) 340-5981

Taxonomy

Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
2901021793
MI
1223G0001X
General Practice Dentistry
DN014742
GA

Other

Enumeration date
04/08/2014
Last updated
10/26/2016
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