Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Student Health |
261QS1000X | |||
Dentist |
122300000X |
| NPI Number | 1871486357 |
||||
| Entity | Organization | ||||
| Organization subpart 1 | Not specified | ||||
| Enumeration date | 06/02/2025 | ||||
| Last updated | 06/17/2025 - About 12 months ago | ||||
| Identifiers |
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NICOLE M SALERNO
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