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Diana Sue Shelby, DPD
Denturist in Kennewick, Washington
NPI 1104933571

Diana Sue Shelby is a Denturist based in Kennewick, WA. Diana Sue Shelby practices in Kennewick, WA and has the professional credentials of DPD. The NPI Number for Diana Sue Shelby is 1104933571 and holds a License No. DN00000253 (Washington).

The current practice location address for Diana Sue Shelby is 5219 West Clearwater Ave, Kennewick, WA and can be reached out via phone at 509-374-1660 and via fax at 509-374-9374.

Location: 5219 West Clearwater Ave, Kennewick, WA, 99336
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104933571
Provider Name
Diana Sue Shelby
Credential
DPD
Provider Entity Type
Individual
Gender
Female
Address
5219 West Clearwater Ave, Kennewick, WA, 99336
Phone Number
509-374-1660
Fax Number
509-374-9374
Provider Enumeration Date
08/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
15049275 05 WA
institution
Provider Business Practice Location Address Details
Address
5219 West Clearwater Ave
City
Kennewick
State
Washington
Zip
99336
Phone Number
509-374-1660
Fax Number
509-374-9374
person
Provider Business Mailing Address Details
Address
5219 West Clearwater Ave
City
Kennewick
State
Washington
Zip
99336
Phone Number
509-374-1660
Fax Number
509-374-9374
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
122400000X
License No.
DN00000253 (Washington)
Definition
Definition to come.
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