Individual
ENRIQUE SALGADO SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4149 TWEEDY BLVD, SOUTH GATE, CA 90280-6167
(323) 204-0915
Mailing address
4149 TWEEDY BLVD, SOUTH GATE, CA 90280-6167
(323) 204-0915
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
69539
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
69539
—
CA
Enumeration date
03/22/2019
Last updated
03/22/2019
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