Healthcare Provider Details
I. General information
NPI: 1497678734
Provider Name (Legal Business Name): SALDUA DENTAL COLLECTIVE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4125 W CHANDLER BLVD
CHANDLER AZ
85226-3709
US
IV. Provider business mailing address
4125 W CHANDLER BLVD
CHANDLER AZ
85226-3709
US
V. Phone/Fax
- Phone: 480-961-7400
- Fax:
- Phone: 480-961-7400
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NICOLE
SALDUA
Title or Position: DENTIST / OWNER
Credential: DDS
Phone: 509-475-1921