Individual
JARED EUSTAQUIO SALAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6349 US HIGHWAY 550, CUBA, NM 87013-6032
(575) 289-3291
Mailing address
6135 MOTHERWELL DR SE, ALBUQUERQUE, NM 87106-8008
(505) 980-5691
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD5624
NM
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/31/2022
Last updated
04/23/2025
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