DR. T. R. Shively, DDS

NPI #1376626739 in Spencer, Iowa

Provider Information

NPI Number
1376626739
Entity Type
Individual
Name
DR. T. R. Shively, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Oct 21, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1206 2ND AVE E
State
Iowa
ZIP Code
51301-4424
Phone
(712) 262-1055

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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