Individual
DR. SHELLEY ANN LYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3111 KEENE CT, COLUMBIA, MO 65201-6639
(573) 442-1869
(573) 442-4165
Mailing address
3111 KEENE CT, COLUMBIA, MO 65201-6639
(573) 442-1869
(573) 442-4165
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
014131
MO
Other
Enumeration date
07/27/2006
Last updated
04/29/2008
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