Individual
DR. SCOTT ELLIOT SHAMBLOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
33 10TH AVENUE S, SUITE 340, HOPKINS, MN 55343
(952) 935-5599
(952) 935-7842
Mailing address
33 10TH AVENUE S, SUITE 340, HOPKINS, MN 55343
(952) 935-5599
(952) 935-7842
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11162
MN
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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