# DEAN SALO DDS, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Personal Dental Office
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376674432
- **Authorized official:** VADIM DEAN SALO DDS (PRESIDENT)
- **Authorized official phone:** (323) 933-4444

## Contact information

- **Practice address:** 6222 WILSHIRE BLVD STE 103, LOS ANGELES, CA 90048-5100
- **Practice address phone:** (323) 933-4444
- **Practice address fax:** (323) 933-0684
- **Mailing address:** 6222 WILSHIRE BLVD STE 103, LOS ANGELES, CA 90048-5100
- **Mailing address phone:** (323) 933-4444
- **Mailing address fax:** (323) 933-0684

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 03/08/2007
- **Last updated:** 04/23/2008