| Salo Dds A Dental Corporation | |
|
1151 N. Sepulveda Blvd Manhattan Beach CA 90266 | |
| (310) 376-0432 | |
| (310) 372-9471 |
| Full Name | Salo Dds A Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1151 N. Sepulveda Blvd, Manhattan Beach, California |
| Authorized Official Name and Position | Vadim Dean Salo (PRESIDENT) |
| Authorized Official Contact | 3106664541 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Salo Dds A Dental Corporation 6222 Wilshire Blvd #103 Los Angeles CA 90048 Ph: (310) 666-4541 | Salo Dds A Dental Corporation 1151 N. Sepulveda Blvd Manhattan Beach CA 90266 Ph: (310) 376-0432 |
| NPI Number | 1659977049 |
|---|---|
| Provider Enumeration Date | 12/10/2020 |
| Last Update Date | 12/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659977049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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