Individual
EMMANUEL SALAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
636 W REPUBLIC RD STE 120, SPRINGFIELD, MO 65807-5803
(417) 882-3200
Mailing address
636 W REPUBLIC RD STE 120, SPRINGFIELD, MO 65807-5803
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2020035763
MO
Other
Enumeration date
07/24/2020
Last updated
05/04/2023
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