Provider Demographics
NPI:1811029770
Name:SALINAS, ENRIQUE (DDS)
Entity Type:Individual
Prefix:
First Name:ENRIQUE
Middle Name:
Last Name:SALINAS
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 1:105 FRANK E RODGERS BLVD N # 107
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:NJ
Mailing Address - Zip Code:07029-1433
Mailing Address - Country:US
Mailing Address - Phone:973-350-9800
Mailing Address - Fax:973-350-0450
Practice Address - Street 1:105 FRANK E RODGERS BLVD N # 107
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:NJ
Practice Address - Zip Code:07029-1433
Practice Address - Country:US
Practice Address - Phone:973-350-9800
Practice Address - Fax:973-350-0450
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI 192511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice