| NPI | 1790164960 |
|---|---|
| Doing Business As | SALUD DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | SIAMAK KHAKSHOOY President 310-925-9991 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 54735) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 54539) |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2016-02-29 |