Individual
SHELBY KIRTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2623 W JACKSON ST, MUNCIE, IN 47303-4634
(765) 413-6714
Mailing address
2623 W JACKSON ST, MUNCIE, IN 47303-4634
(765) 413-6714
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12013833A
IN
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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