Provider Demographics
NPI:1295110716
Name:ALIVIA, JULIAN SALGADO (DDS)
Entity type:Individual
Prefix:DR
First Name:JULIAN
Middle Name:SALGADO
Last Name:ALIVIA
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 1:40 N VALLE VERDE DR STE 140
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-1778
Mailing Address - Country:US
Mailing Address - Phone:702-648-0011
Mailing Address - Fax:
Practice Address - Street 1:40 N VALLE VERDE DR STE 140
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-1778
Practice Address - Country:US
Practice Address - Phone:702-648-0011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-27
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA647721223G0001X
NV76041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice