DR. Shelly Rea Sullens, DMD
NPI #1124266804 in Canyonville, Oregon
Provider Information
- NPI Number
- 1124266804
- Entity Type
- Individual
- Name
- DR. Shelly Rea Sullens, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DMD
- Enumeration Date
- Feb 3, 2009
- Last Updated
- Jun 23, 2015
Practice Location
- Address
- 121 SW 5TH ST
- City
- Canyonville
- State
- Oregon
- ZIP Code
- 97417-8718
- Phone
- (888) 468-0022
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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