Basic Information
Provider Information
NPI: 1871666289
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SALDANA
FirstName: CARLOS
MiddleName: FRANCISCO
NamePrefix: DR.
NameSuffix:  
Credential: D.D.S.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6950 NE CAMPUS WAY
Address2:  
City: HILLSBORO
State: OR
PostalCode: 971245611
CountryCode: US
TelephoneNumber: 5039522164
FaxNumber: 5035264418
Practice Location
Address1: 3715 LAKESIDE DR # B
Address2:  
City: RENO
State: NV
PostalCode: 895095239
CountryCode: US
TelephoneNumber: 7757701113
FaxNumber: 7757701114
Other Information
ProviderEnumerationDate: 11/15/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1223G0001X4961TNVY Dental ProvidersDentistGeneral Practice
1223G0001XDE00007047WAN Dental ProvidersDentistGeneral Practice

No ID Information.


Home