Organization
ROBERTO SALAZAR DENTAL CORPORATION
Active
Other names
NORTH COAST FAMILY DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTO SALAZAR (PRESIDENT)
(760) 525-2997
Entity
Organization
Contact information
Practice address
365 S RANCHO SANTA FE RD STE 105, SAN MARCOS, CA 92078-2338
(760) 736-9200
Mailing address
1001 W SAN MARCOS BLVD STE 106C, SAN MARCOS, CA 92078-4012
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/18/2020
Last updated
07/15/2021
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