Organization
SHANE M. WELLINGTON DMD LLC
Active
Other names
River Valley Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANE MATTHEW WELLINGTON DMD (DENTIST/OWNER)
(330) 385-1352
Entity
Organization
Contact information
Practice address
1609 PENNSYLVANIA AVE, EAST LIVERPOOL, OH 43920-2146
(330) 385-1352
(330) 385-7407
Mailing address
1609 PENNSYLVANIA AVE, EAST LIVERPOOL, OH 43920-2146
(330) 385-1352
(330) 385-7407
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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