Individual
YULIYA SALMERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1090 NORTHCHASE PKWY SE, SUITE 290, MARIETTA, GA 30067-6405
(770) 916-5037
Mailing address
1050 S BILL MARTIN DR, APT 13203, TUCSON, AZ 85745-5138
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D008710
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
AZ
Enumeration date
07/24/2013
Last updated
07/24/2013
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