Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | D12364 | MN |
NPI | 1235461864 |
---|---|
Provider Name | Dr. Roxana Liliana Saldarriaga |
First Address | Minneapolis, MN 55403-4119 |
Second Address | Minneapolis, MN 55455-0357 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2010 |
Last Update Date | 07/02/2010 |