Individual
DR. SHELBY D MAURICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
21582 S ELLSWORTH LOOP RD STE 126, QUEEN CREEK, AZ 85142-7882
(480) 888-1416
Mailing address
21582 S ELLSWORTH LOOP RD STE 126, QUEEN CREEK, AZ 85142-7882
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
105665
CA
122300000X
Dentist
D011264
AZ
Other
Enumeration date
10/07/2020
Last updated
03/18/2022
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