Shelly Self Dmd Pllc
NPI #1780003723 in Poulsbo, Washington
Provider Information
- NPI Number
- 1780003723
- Entity Type
- Organization
- Organization Name
- Shelly Self Dmd Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Apr 7, 2014
- Last Updated
- Apr 7, 2014
Practice Location
- Address
- 19365 7TH AVE NE
- Address 2
- SUITE D 108
- City
- Poulsbo
- State
- Washington
- ZIP Code
- 98370-7441
- Phone
- (360) 779-7115
Authorized Official
- Name
- MCKINLEY T SELF, DMD
- Title
- MANAGER
- Phone
- (360) 464-0779
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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