MEDICARE: DR. DASSY R SALAZAR DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	13508	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912047531
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DASSY R SALAZAR DMD

Provider Business Mailing Address
First Line	:	9055 KATY FWY STE 308
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-1630
Country	:	US
Telephone Number	:	713-464-6885
Fax Number	:

Provider Business Practice Location Address
First Line	:	9055 KATY FWY STE 308
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-1630
Country	:	US
Telephone Number	:	713-464-6885
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2007
Last Update Date	:	07/07/2011

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