Kenneth Donald Salo, DDS

NPI #1003052770 in Champlin, Minnesota

Provider Information

NPI Number: 1003052770
Entity Type: Individual
Name: Kenneth Donald Salo, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Dec 30, 2008
Last Updated: Dec 30, 2008

Practice Location

Address: 11816 MISSISSIPPI DR N
City: Champlin
State: Minnesota
ZIP Code: 55316-2513
Phone: (763) 421-2732

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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