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General NPI Number Information
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NPI Number | 1568006385
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Entity Type | Organization
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Legal Business Name | PERLA SALAZAR DMD PLLC
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Dates
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Enumeration Date | 11/05/2019
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Last Update Date | 11/05/2019
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Provider Practice Location Address
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Address Line | 7491 N FEDERAL HWY STE C14
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City | BOCA RATON
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State | FL
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Zip | 33487-1688
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Country | US
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Telephone | 561-241-7894
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Fax |
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Provider Business Mailing Address
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Address Line | 7491 N FEDERAL HWY STE C14
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City | BOCA RATON
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State | FL
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Zip | 33487-1688
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Country | US
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Telephone | 561-241-7894
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | PERLA SALAZAR
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Credential |
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Telephone | 786-380-6896
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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