Provider Demographics
NPI:1619499456
Name:SARNO, SELINA ANN SALVADOR (DDS)
Entity Type:Individual
Prefix:DR
First Name:SELINA ANN
Middle Name:SALVADOR
Last Name:SARNO
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 1:26700 TOWNE CENTRE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:FOOTHILL RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:92610-2845
Mailing Address - Country:US
Mailing Address - Phone:949-830-3511
Mailing Address - Fax:949-830-0997
Practice Address - Street 1:26700 TOWNE CENTRE DR STE 200
Practice Address - Street 2:
Practice Address - City:FOOTHILL RANCH
Practice Address - State:CA
Practice Address - Zip Code:92610-2845
Practice Address - Country:US
Practice Address - Phone:949-830-3511
Practice Address - Fax:949-830-0997
Is Sole Proprietor?:No
Enumeration Date:2017-07-13
Last Update Date:2021-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1012731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice