Organization
SALKELD FAMILY DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN CHARLES SALKELD DDS (OWNER)
(260) 637-4648
Entity
Organization
Contact information
Practice address
12962 COLDWATER RD, FORT WAYNE, IN 46845-9517
(260) 637-4648
Mailing address
12962 COLDWATER RD, FORT WAYNE, IN 46845-9517
(260) 637-4648
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12009491A
IN
Other
Enumeration date
09/04/2013
Last updated
09/23/2020
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