The Dental Village of Shelton
NPI #1922090869 in Shelton, Washington
Provider Information
- NPI Number
- 1922090869
- Entity Type
- Organization
- Organization Name
- The Dental Village of Shelton
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 17, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2129 JEFFERSON ST
- City
- Shelton
- State
- Washington
- ZIP Code
- 98584-1927
- Phone
- (360) 432-1978
Authorized Official
- Name
- DR. SHIRLEY OLIVIA DANIELS, DDS
- Title
- PRESIDENT
- Phone
- (360) 432-1978
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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