Levi J.o. Shull, D.M.D.

NPI #1407283500 in Salem, Oregon

Provider Information

NPI Number: 1407283500
Entity Type: Individual
Name: Levi J.o. Shull, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Oct 3, 2013
Last Updated: Jul 23, 2019

Practice Location

Address: 1211 LIBERTY ST SE
City: Salem
State: Oregon
ZIP Code: 97302-4243
Phone: (503) 362-5019

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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