Melvin L Shanley DDS PA
NPI #1053446419 in San Antonio, Texas
Provider Information
- NPI Number
- 1053446419
- Entity Type
- Organization
- Organization Name
- Melvin L Shanley DDS PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 23, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 4315 MOONLIGHT WAY
- Address 2
- SUITE 101
- City
- San Antonio
- State
- Texas
- ZIP Code
- 78230-1688
- Phone
- (210) 697-7377
Authorized Official
- Name
- DR. MELVIN L SHANLEY, DDS
- Title
- PRESIDENT
- Phone
- (210) 697-7377
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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