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Organization

SALO DDS A DENTAL CORPORATION

Active
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Organization

SALO DDS A DENTAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VADIM DEAN SALO D.D.S (PRESIDENT)
(310) 666-4541
Entity
Organization

Contact information

Practice address
1151 N. SEPULVEDA BLVD, MANHATTAN BEACH, CA 90266
(310) 376-0432
(310) 372-9471
Mailing address
6222 WILSHIRE BLVD #103, LOS ANGELES, CA 90048
(310) 666-4541
(323) 933-0684

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—

Other

Enumeration date
12/10/2020
Last updated
12/10/2020
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