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Individual
DR. JARED MICHAEL SHELTON
Active
Individual
DR. JARED MICHAEL SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
9055
KY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9055
KY
Other
Enumeration date
06/20/2011
Last updated
08/30/2013
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