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General NPI Number Information
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NPI Number | 1619582756
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Entity Type | Organization
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Legal Business Name | MARITZA SANCHEZ-SALAZAR DDS, PLC
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Dates
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Enumeration Date | 09/15/2020
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Last Update Date | 09/15/2020
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Provider Practice Location Address
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Address Line | 1578 N HWY 89 STE 1
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City | CHINO VALLEY
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State | AZ
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Zip | 86323-7624
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Country | US
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Telephone | 928-300-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 1578 N HWY 89, STE 1
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City | CHINO VALLEY
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State | AZ
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Zip | 86323-7624
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Country | US
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Telephone | 928-300-8100
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | MARITZA SANCHEZ-SALAZAR
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Credential | DDS
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Telephone | 928-300-8100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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