Provider Demographics
NPI:1457465569
Name:MUNOZ-FLORES, SALVADOR (DDS)
Entity Type:Individual
Prefix:DR
First Name:SALVADOR
Middle Name:
Last Name:MUNOZ-FLORES
Suffix:
Gender:M
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:PO BOX 450486
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78045-0011
Mailing Address - Country:US
Mailing Address - Phone:956-725-8483
Mailing Address - Fax:956-725-4634
Practice Address - Street 1:5901 MCPHERSON
Practice Address - Street 2:SUITE 7B
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041
Practice Address - Country:US
Practice Address - Phone:956-725-8483
Practice Address - Fax:956-725-4634
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX205931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX144403602Medicaid