Organization
LAWRENCE J SALATA DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE J SALATA DDS (PRESIDENT)
(330) 879-0121
Entity
Organization
Contact information
Practice address
8562 NAVARRE RD SW, MASSILLON, OH 44646-8814
(330) 879-0121
Mailing address
8562 NAVARRE RD SW, MASSILLON, OH 44646-8814
(330) 879-0121
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
19168
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024032
UNITED CONCORDIA
—
01
—
2847045330006
BCBS
OH
Enumeration date
04/24/2008
Last updated
04/25/2008
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