Provider Demographics
NPI:1861816365
Name:SALVADOR ROJAS, RAQUEL DELFINA (DDS)
Entity Type:Individual
Prefix:
First Name:RAQUEL DELFINA
Middle Name:
Last Name:SALVADOR ROJAS
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 1:1766 CHOLLA TER
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46240-1933
Mailing Address - Country:US
Mailing Address - Phone:408-646-3928
Mailing Address - Fax:
Practice Address - Street 1:2001 W WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46222-4299
Practice Address - Country:US
Practice Address - Phone:317-636-2002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-05
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12012190122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist