Salatich, Dale Graham

Salatich, Dale Graham is an sole proprietor health care provider with primary practice located at 745 N Magnolia Ave. Suite 201, Orlando FL 32803-3835. He recently has only one registered license in Allopathic & Osteopathic Physicians / Facial Plastic Surgery, which is considered as his primary health care specialty. Salatich, Dale Graham can be contacted via phone (407) 299-7333.

Contact Information

Primary practice address
745 N Magnolia Ave. Suite 201 Orlando FL 32803-3835
Phone: (407) 299-7333
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X ME53091 Florida

Profile Details

NPI number 1689677965
LBN Legal business name Salatich, Dale Graham
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2005
Last updated Oct 20th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689677965 NPPES
Florida MEDICAID 049534400
Florida Other 623763
Florida Other 05974
Florida Other 4071383
Florida Other FEIN

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