institution
Shelly Self Dmd Pllc
Dental Clinic/Center in Poulsbo, Washington
NPI 1780003723

Shelly Self Dmd Pllc is a Dental Clinic/Center based in Poulsbo, WA and is specialized in Dental. Shelly Self Dmd Pllc practices in Poulsbo, WA. The NPI Number for Shelly Self Dmd Pllc is 1780003723 and holds a License No. DE10256 (Washington).

The current practice location address for Shelly Self Dmd Pllc is 19365 7Th Ave Ne, Poulsbo, WA and can be reached out via phone at 360-779-7115 and via fax at 360-779-3990.

Location: 19365 7Th Ave Ne, Poulsbo, WA, 98370-7441
institution
Provider Profile Details
NPI Number
1780003723
Provider Name
Shelly Self Dmd Pllc
Credential
Provider Entity Type
Organization
Address
19365 7Th Ave Ne, Poulsbo, WA, 98370-7441
Phone Number
360-779-7115
Fax Number
360-779-3990
Provider Enumeration Date
04/07/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5003603 05 WA
1008098 05 WA
institution
Provider Business Practice Location Address Details
Address
19365 7Th Ave Ne
City
State
Zip
98370-7441
Phone Number
360-779-7115
Fax Number
360-779-3990
person
Provider Business Mailing Address Details
Address
19365 7Th Ave Ne
City
State
Zip
98370-7441
Phone Number
360-779-7115
Fax Number
360-779-3990
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
DE10256 (Washington)
Definition
Definition to come...
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