| NPI | 1376674432 |
|---|---|
| Doing Business As | PERSONAL DENTAL OFFICE |
| Entity Type | Organization |
| Authorized Contact | VADIM DEAN SALO President 323-933-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2008-04-23 |