Individual
SHELLEA J ALTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
576 HIGH RIDGE CIRCLE, MENDOTA HEIGHTS, MN 55118
(651) 330-8779
Mailing address
576 HIGH RIDGE CIRCLE, MENDOTA HEIGHTS, MN 55118
(651) 330-8779
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401008462
VA
Other
Enumeration date
04/28/2014
Last updated
04/28/2014
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