DR. Leo Russell Shockley JR., D.D.S
NPI #1942290226 in Floodwood, Minnesota
Provider Information
- NPI Number
- 1942290226
- Entity Type
- Individual
- Name
- DR. Leo Russell Shockley JR., D.D.S
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S
- Enumeration Date
- Oct 26, 2005
- Last Updated
- May 9, 2017
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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