DR. Shelly Self, DMD
NPI #1336280957 in Poulsbo, Washington
Provider Information
- NPI Number
- 1336280957
- Entity Type
- Individual
- Name
- DR. Shelly Self, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Pediatric Dentistry
- Credential
- DMD
- Enumeration Date
- Feb 8, 2007
- Last Updated
- May 20, 2014
Practice Location
- Address
- 19365 7TH AVE NE
- Address 2
- SUITE D108
- City
- Poulsbo
- State
- Washington
- ZIP Code
- 98370-7441
- Phone
- (360) 779-7115
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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