Shelly Suzanne Raichart, DDS

NPI #1740305549 in Edwards, Colorado

Provider Information

NPI Number: 1740305549
Entity Type: Individual
Name: Shelly Suzanne Raichart, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Mar 20, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 0057 EDWARDS ACCESS RD
Address 2: SUITE 21
City: Edwards
State: Colorado
ZIP Code: 81632
Phone: (970) 926-1519

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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