Provider Demographics
NPI:1881749885
Name:SALAZAR, ARMANDO III (DDS)
Entity type:Individual
Prefix:DR
First Name:ARMANDO
Middle Name:
Last Name:SALAZAR
Suffix:III
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:PO BOX 1584
Mailing Address - Street 2:
Mailing Address - City:PORT ISABEL
Mailing Address - State:TX
Mailing Address - Zip Code:78578-1584
Mailing Address - Country:US
Mailing Address - Phone:281-293-7778
Mailing Address - Fax:281-293-7719
Practice Address - Street 1:314 E QUEEN ISABELLA BLVD
Practice Address - Street 2:
Practice Address - City:PORT ISABEL
Practice Address - State:TX
Practice Address - Zip Code:78578-2407
Practice Address - Country:US
Practice Address - Phone:281-293-7778
Practice Address - Fax:281-293-7719
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2012-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX227811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice