YANISA STUART SALAS

Dentist - General Practice

Active Individual
NPI: 1316647100

Practice Address

3280 MITCHELL BLVD
Moody Afb, GA 31699

Phone: (229) 257-2778

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X No 37838587 (FL)
Dentist - General Practice 1223G0001X Yes DN28355 (FL)

Frequently Asked Questions

NPI 1316647100 is the National Provider Identifier for YANISA STUART SALAS, a Dentist - General Practice provider located in Moody Afb, GA. This NPI was enumerated on March 9, 2023.
YANISA STUART SALAS practices at 3280 MITCHELL BLVD, Moody Afb, GA 31699.

Quick Facts

NPI
1316647100
Type
Individual
Enumerated
Mar 9, 2023
Last Updated
Aug 13, 2024

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