Dr. Kristina Rodriguez Salaverry, DDS
Dentist, Periodontics in New York, NY. Individual provider (NPI-1).
NPI number1376802108
StatusActive
Last updated in NPPESDec 7, 2021
Details
- NPI
- 1376802108
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kristina Rodriguez Salaverry
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 14, 2012
- Certification date
- Dec 7, 2021
- Last updated
- Dec 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0300X | Dentist, Periodontics | 50056211 | NY | Yes |
| 1223P0300X | Dentist, Periodontics | 22DI02499100 | NJ |
Practice location
509 Madison Ave Rm 1704New York, NY 10022-5532
Phone 212-245-5130
Mailing address
50 Murray St Apt 912New York, NY 10007-2265
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