Most Relevant Information
Provider Data
| NPI Number: | 1003052770 |
| Provider Name: | KENNETH DONALD SALO DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 6800 |
Most Important Dates
| Enumeration Date: | 12/30/2008 |
| Last Updated: | 12/30/2008 |
Provider Practice Location
11816 MISSISSIPPI DR N
CHAMPLIN
MN
553162513
Practice Location Phone/Fax
| Phone: | 7634212732 |
| Fax: |
Provider Mailing Location
11816 MISSISSIPPI DR N
CHAMPLIN
MN
553162513
Provider Mailing Phone/Fax
| Phone: | 7634212732 |
| Fax: |