Provider Demographics
NPI:1689863789
Name:SALINAS, FELIPE (DMD)
Entity Type:Individual
Prefix:DR
First Name:FELIPE
Middle Name:
Last Name:SALINAS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7162 N 58TH DR
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85301-2460
Mailing Address - Country:US
Mailing Address - Phone:623-939-5171
Mailing Address - Fax:623-931-5859
Practice Address - Street 1:7162 N 58TH DR
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85301-2460
Practice Address - Country:US
Practice Address - Phone:623-939-5171
Practice Address - Fax:623-931-5859
Is Sole Proprietor?:No
Enumeration Date:2007-10-15
Last Update Date:2013-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD74231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice