Provider Demographics
NPI:1902384894
Name:SALIMNIA DENTAL CORPORATION
Entity Type:Organization
Organization Name:SALIMNIA DENTAL CORPORATION
Other - Org Name:BOUTIQUE ENDODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DR.
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:SALIMNIA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:909-979-7975
Mailing Address - Street 1:27725 SANTA MARGARITA PKWY STE 108
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-6706
Mailing Address - Country:US
Mailing Address - Phone:949-336-1744
Mailing Address - Fax:
Practice Address - Street 1:27725 SANTA MARGARITA PKWY STE 108
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-6706
Practice Address - Country:US
Practice Address - Phone:949-336-1744
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-01
Last Update Date:2018-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA648981223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty