Provider Demographics
NPI:1447471289
Name:SALAS, CLAUDIA M (DDS)
Entity type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:M
Last Name:SALAS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7861 PINES BLVD
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-6916
Mailing Address - Country:US
Mailing Address - Phone:954-967-8280
Mailing Address - Fax:954-967-6584
Practice Address - Street 1:7861 PINES BLVD
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-6916
Practice Address - Country:US
Practice Address - Phone:954-967-8280
Practice Address - Fax:954-967-6584
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL143731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL071442902Medicaid