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NPI Code Detail

MEDICARE: ERIKA B. SALAO, DMD, INC.

MEDICARE: ERIKA B. SALAO, DMD, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry49987CA

General Provider Information

NPI Number : 1982871042
Entity Type Code : Organization
Provider Name (Legal Business Name) : ERIKA B. SALAO, DMD, INC.
Provider Business Mailing Address
First Line : 3756 WEST AVE 40 STE 1C
Second Line :
City : LOS ANGELES
State : CA
Zip : 90065-3667
Country : US
Telephone Number : 323-255-1700
Fax Number : 323-255-1829
Provider Business Practice Location Address
First Line : 3756 WEST AVE 40 STE 1C
Second Line :
City : LOS ANGELES
State : CA
Zip : 90065-3667
Country : US
Telephone Number : 323-255-1700
Fax Number : 323-255-1829
Authorized Official
Title or Position : PRESIDENT
Name : ERIKA B. SALAO
Credential : DMD
Telephone Number : 323-255-1700
Provider Enumeration Date : 05/08/2008
Last Update Date : 05/08/2008

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Directions to “ERIKA B. SALAO, DMD, INC. ” Practice Location

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