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Individual
GENE MARTIN SHELHAMER
Active
Individual
GENE MARTIN SHELHAMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8999
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8999
DENTAL LICENSE
TX
Enumeration date
06/01/2009
Last updated
06/01/2009
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