Healthcare Provider Details

I. General information

NPI: 1285974410
Provider Name (Legal Business Name): MARIA DEL MAR SALVA GARCIA DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/25/2013
Last Update Date: 11/19/2020
Certification Date: 11/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 MAMARONECK AVE
WHITE PLAINS NY
10601-4204
US

IV. Provider business mailing address

3 CONSULATE DR APT 3J
TUCKAHOE NY
10707-2425
US

V. Phone/Fax

Practice location:
  • Phone: 914-997-0566
  • Fax:
Mailing address:
  • Phone: 787-361-4426
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number057584
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number057584
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: