Individual provider · Type 1 NPI

Moises Yldefonso Salas, D.D.S, M.P.H

Pediatric Dentistry · Hartford, CT

NPI number 1174512255 Active

Practice location

21 Grand St
Hartford, CT 06106-1541

Fax (860) 550-7594

Mailing address

53 Oak Ridge Ln
West Hartford, CT 06107-3506

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X009212 (CT)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1174512255

Moises Yldefonso Salas, D.D.S, M.P.H's National Provider Identifier is 1174512255, issued on Oct 20, 2005. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Hartford, CT. The record was last updated on Nov 18, 2010.