Individual
DR. EUGENE SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
706 E BELL RD STE 104, PHOENIX, AZ 85022
(602) 482-7000
(602) 482-7021
Mailing address
16080 N 59TH AVE, GLENDALE, AZ 85306-2339
(602) 978-1100
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D4147
AZ
1223G0001X
General Practice Dentistry
4147
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86-079974
TIN
AZ
Enumeration date
05/23/2007
Last updated
09/10/2018
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