Individual
ANDREA CHADWICK SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
9311
KY
1223P0221X
Pediatric Dentistry
Primary
12012911A
IN
Other
Enumeration date
05/02/2013
Last updated
10/08/2018
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