NPI 1003052770

Kenneth Donald Salo, DDS

Practitioner General Practice Dentistry Champlin, MN

Practice location

Address: 11816 Mississippi Dr N, Champlin, MN 55316-2513
Phone: (763) 421-2732

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 6800 (MN)

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Registry record

NPI: 1003052770
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Dec 2008
Record last updated: 30 Dec 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.