Provider Demographics
NPI:1073311726
Name:SALCIDO, HANA MARIE
Entity type:Individual
Prefix:
First Name:HANA
Middle Name:MARIE
Last Name:SALCIDO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3150 VISTA BLVD
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89436-6712
Mailing Address - Country:US
Mailing Address - Phone:775-409-4605
Mailing Address - Fax:
Practice Address - Street 1:3150 VISTA BLVD STE 112
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89436-6704
Practice Address - Country:US
Practice Address - Phone:775-409-4605
Practice Address - Fax:775-800-1513
Is Sole Proprietor?:No
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes126800000XDental ProvidersDental Assistant