Provider Demographics
NPI:1750579314
Name:ARAGONA, SALVATORE S (DDS)
Entity type:Individual
Prefix:DR
First Name:SALVATORE
Middle Name:S
Last Name:ARAGONA
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 1:37020 GARFIELD RD
Mailing Address - Street 2:SUITE T-4
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48036-3645
Mailing Address - Country:US
Mailing Address - Phone:586-263-4060
Mailing Address - Fax:586-263-4111
Practice Address - Street 1:37020 GARFIELD RD
Practice Address - Street 2:SUITE T-4
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48036-3645
Practice Address - Country:US
Practice Address - Phone:586-263-4060
Practice Address - Fax:586-263-4111
Is Sole Proprietor?:No
Enumeration Date:2007-10-09
Last Update Date:2013-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI12445122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist