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Organization

SONRISAS FAMILY DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARTIN SALAZAR D.D.S. (OWNER)
(317) 363-4760
Entity
Organization

Contact information

Practice address
3220 N NATIONAL RD, COLUMBUS, IN 47201-3166
(812) 376-4054
Mailing address
3220 N NATIONAL RD, COLUMBUS, IN 47201-3166
(812) 376-4054

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010930A
IN
1223G0001X
General Practice Dentistry
12011038A
IN

Other

Enumeration date
06/21/2017
Last updated
06/21/2017
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