Provider Demographics
NPI:1376975375
Name:SALAMATI, ATRIYA (DDS)
Entity Type:Individual
Prefix:
First Name:ATRIYA
Middle Name:
Last Name:SALAMATI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5545 VIA VERANO
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92887-4931
Mailing Address - Country:US
Mailing Address - Phone:425-308-5342
Mailing Address - Fax:
Practice Address - Street 1:1205 RENAISSANCE PKWY STE 240
Practice Address - Street 2:
Practice Address - City:RIALTO
Practice Address - State:CA
Practice Address - Zip Code:92376-2418
Practice Address - Country:US
Practice Address - Phone:425-308-5342
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-01
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE60402382122300000X
CADDS1062201223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No122300000XDental ProvidersDentist