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Individual

DR. IVAN KING SALMONS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1855 INDIAN HILLS DR, SIOUX CITY, IA 51104-1517
(712) 239-5900
Mailing address
1855 INDIAN HILLS DR, SIOUX CITY, IA 51104-1517
(712) 239-5900

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
05821
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0005215
IA
Enumeration date
11/01/2006
Last updated
03/19/2015
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