Individual
SAL SHECKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
633 N GILBERT RD, MESA, AZ 85203-6629
(602) 932-2555
Mailing address
4114 N 28TH ST APT 3029, PHOENIX, AZ 85016-5943
(714) 423-7769
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D011079
AZ
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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