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Organization
DEAN SALO DDS, INC
Active
Organization
DEAN SALO DDS, INC
Active
Other names
Personal Dental Office
Organization subpart
No
Provider details
NPI number
Authorized official
VADIM DEAN SALO DDS (PRESIDENT)
(323) 933-4444
Entity
Organization
Contact information
Practice address
6222 WILSHIRE BLVD STE 103, LOS ANGELES, CA 90048-5100
(323) 933-4444
(323) 933-0684
Mailing address
6222 WILSHIRE BLVD STE 103, LOS ANGELES, CA 90048-5100
(323) 933-4444
(323) 933-0684
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/08/2007
Last updated
04/23/2008
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