Stephen Salvador
Dentist in Honolulu, HI. Individual provider (NPI-1).
NPI number1164092417
StatusActive
Last updated in NPPESJun 29, 2021
Details
- NPI
- 1164092417
- Entity type
- Individual (NPI-1)
- Name
- Stephen Salvador
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2021
- Certification date
- Jun 29, 2021
- Last updated
- Jun 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DTT-355-0 | HI | Yes |
Practice location
1301 Punchbowl StHonolulu, HI 96813-2499
Phone 808-691-1000
Mailing address
710 Lunalilo StHonolulu, HI 96813-2614
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