Provider Demographics
NPI:1427619253
Name:SALAS, JULIO (DMD)
Entity type:Individual
Prefix:
First Name:JULIO
Middle Name:
Last Name:SALAS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 S UNIVERSITY DR APT 9107
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-1409
Mailing Address - Country:US
Mailing Address - Phone:786-223-9715
Mailing Address - Fax:
Practice Address - Street 1:BCFHC DENTAL OFFICE
Practice Address - Street 2:162 NORTH POWERLINE ROAD
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33069-5171
Practice Address - Country:US
Practice Address - Phone:954-970-7067
Practice Address - Fax:954-971-5171
Is Sole Proprietor?:No
Enumeration Date:2019-06-24
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN24341122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist