Individual
MRS. JANICE NOEL SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD2779
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD2779
NEW MEXICO STATE LIC
NM
Enumeration date
08/30/2006
Last updated
03/23/2012
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