Provider Demographics
NPI:1831519131
Name:R. STARR DENTAL, INC.
Entity type:Organization
Organization Name:R. STARR DENTAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:SALSBURY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:626-616-1054
Mailing Address - Street 1:518 S EL MOLINO AVE
Mailing Address - Street 2:302
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-3461
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:518 S EL MOLINO AVE
Practice Address - Street 2:APT 302
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-3461
Practice Address - Country:US
Practice Address - Phone:626-616-1054
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-24
Last Update Date:2014-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA221061223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty