Individual
DONALD A SALEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11980 SAN VICENTE BLVD, SUITE 814, LOS ANGELES, CA 90049
(310) 820-4986
Mailing address
11980 SAN VICENTE BLVD, SUITE 814, LOS ANGELES, CA 90049-5012
(310) 820-4986
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D20454
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
D20454
IL
Other
Enumeration date
08/24/2006
Last updated
11/10/2009
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