Provider Demographics
NPI:1033779921
Name:SALVI, PAULOMI V
Entity Type:Individual
Prefix:
First Name:PAULOMI
Middle Name:V
Last Name:SALVI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3549 CURRY LN APT 3413
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-2263
Mailing Address - Country:US
Mailing Address - Phone:646-549-8357
Mailing Address - Fax:
Practice Address - Street 1:309 NE GEORGIA AVE STE 124
Practice Address - Street 2:
Practice Address - City:SWEETWATER
Practice Address - State:TX
Practice Address - Zip Code:79556-8246
Practice Address - Country:US
Practice Address - Phone:325-236-6902
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-13
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX351211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice