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NPI 1508730573

NPI 1508730573 : BRIAN C. SALOME, DDS, PLLC : EL PASO, TX

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General NPI Number Information
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    NPI Number           |    1508730573
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    Entity Type          |    Organization 
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    Legal Business Name  |    BRIAN C. SALOME, DDS, PLLC 
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Dates
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    Enumeration Date     |    10/02/2025
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    Last Update Date     |    10/02/2025
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Provider Practice Location Address
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    Address Line         |    7598 N MESA ST STE A1 
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    City                 |    EL PASO
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    State                |    TX
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    Zip                  |    79912-3517
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    Country              |    US
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    Telephone            |    915-584-4472
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    Fax                  |    915-581-0737
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Provider Business Mailing Address
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    Address Line         |    7598 N MESA ST STE A1 
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    City                 |    EL PASO
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    State                |    TX
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    Zip                  |    79912-3517
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    Country              |    US
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    Telephone            |    915-584-4472
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    Fax                  |    915-581-0737
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Authorized Official
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    Title or Position    |    DENTIST/OWNER
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    Name                 |     BRIAN CARTER SALOME 
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    Credential           |    DDS
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    Telephone            |    915-584-4472
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    
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    License Number State |    
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