Organization
THE PLASTICS DOC, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL ENRIQUE SALCEDO MD (OWNER)
(951) 268-6168
Entity
Organization
Contact information
Practice address
4226 GREEN RIVER RD STE 101, CORONA, CA 92878-3829
(951) 268-9616
(951) 268-7756
Mailing address
4226 GREEN RIVER RD STE 101, CORONA, CA 92878-3829
(951) 268-9616
(951) 268-7756
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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