Provider Demographics
NPI:1891534863
Name:SALCEDO, ALEJANDRO J (DDS)
Entity type:Individual
Prefix:DR
First Name:ALEJANDRO
Middle Name:J
Last Name:SALCEDO
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 1:16123 PIONEER BLVD SPC 28
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CA
Mailing Address - Zip Code:90650-0311
Mailing Address - Country:US
Mailing Address - Phone:562-405-7436
Mailing Address - Fax:
Practice Address - Street 1:16123 PIONEER BLVD SPC 28
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CA
Practice Address - Zip Code:90650-0311
Practice Address - Country:US
Practice Address - Phone:562-405-7436
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-21
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1100061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice