Organization
SPRINGFIELD FAMILY DENTAL LLC
Active
Other names
Springfield Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMMANUEL SALAR DMD (DENTIST)
(314) 400-8035
Entity
Organization
Contact information
Practice address
636 W REPUBLIC RD STE 120, SPRINGFIELD, MO 65807-5803
(503) 577-4178
Mailing address
1804 W WINCHESTER ST, SPRINGFIELD, MO 65807-4430
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/03/2022
Last updated
05/05/2022
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