DR. Shelby Dene Blaylock, DDS
NPI #1114309408 in Olive Branch, Mississippi
Provider Information
- NPI Number
- 1114309408
- Entity Type
- Individual
- Name
- DR. Shelby Dene Blaylock, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Jun 23, 2015
- Last Updated
- Jun 23, 2015
Practice Location
- Address
- 9035 E SANDIDGE RD STE 100
- City
- Olive Branch
- State
- Mississippi
- ZIP Code
- 38654-3563
- Phone
- (662) 895-7338
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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