Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 4255 | AL |
NPI | 1073726170 |
---|---|
Provider Name | Dr. Rosalyn J Salter |
First Address | Mobile, AL 36695-3987 |
Second Address | Mobile, AL 36695-3987 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2007 |
Last Update Date | 08/07/2007 |