DR. Nicolas Mihailoff Shelly, DDS

NPI #1760541445 in Elkhart, Indiana

Provider Information

NPI Number: 1760541445
Entity Type: Individual
Name: DR. Nicolas Mihailoff Shelly, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Dec 8, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 110 NORTH NAPPANEE STREET
City: Elkhart
State: Indiana
ZIP Code: 46514
Phone: (574) 293-5216

Specialties & Taxonomy Codes

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

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