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Jared Eustaquio Salas, DDS
General Practice Dentistry in Peralta, New Mexico
NPI 1649919523

Jared Eustaquio Salas is a General Practice Dentistry based in Albuquerque, NM and is specialized in General Practice. Jared Eustaquio Salas practices in Peralta, NM and has the professional credentials of DDS. The NPI Number for Jared Eustaquio Salas is 1649919523 and holds a License No. (New Mexico).

The current practice location address for Jared Eustaquio Salas is 3615 State Highway 47, Peralta, NM and can be reached out via phone at 505-565-0609.

Location: 3615 State Highway 47, Peralta, NM, 87106-8008
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649919523
Provider Name
Jared Eustaquio Salas
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
3615 State Highway 47, Peralta, NM, 87106-8008
Phone Number
505-565-0609
Fax Number
Provider Enumeration Date
05/31/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3615 State Highway 47
City
Peralta
State
New Mexico
Zip
87042-8882
Phone Number
505-565-0609
Fax Number
person
Provider Business Mailing Address Details
Address
3615 State Highway 47
City
Peralta
State
New Mexico
Zip
87042-8882
Phone Number
505-565-0609
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DD5624 (New Mexico)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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