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Organization
ROBERT B SHELTON DDS INC
Active
Organization
ROBERT B SHELTON DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT BYRON SHELTON DDS (PRESIDENT OF ROBERT B SHELTON DDS)
(903) 757-6243
Entity
Organization
Contact information
Practice address
905 WALNUT HILL DR, LONGVIEW, TX 75605-5084
(903) 757-6243
(903) 757-9406
Mailing address
905 WALNUT HILL DR, LONGVIEW, TX 75605-5084
(903) 757-6243
(903) 757-9406
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
TX11132
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
090247002
—
TX
Enumeration date
08/30/2006
Last updated
02/06/2013
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