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Organization
INCREDIBLE CHANGES DENTISTRY, P.C.
Active
Organization
INCREDIBLE CHANGES DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN SALKELD I (OWNER)
(315) 454-6000
Entity
Organization
Contact information
Practice address
4758 S SCATTERFIELD RD, ANDERSON, IN 46013-2908
(765) 642-9500
Mailing address
281 SANDERS CREEK PKWY, EAST SYRACUSE, NY 13057-1307
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009491A
IN
Other
Enumeration date
10/30/2007
Last updated
10/30/2007
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