Individual
SHELBY LEE GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
917 SOUTH ODELL, MARSHALL, MO 65340
(660) 886-6631
(660) 886-4155
Mailing address
917 SOUTH ODELL, MARSHALL, MO 65340
(660) 886-6631
(660) 886-4155
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11449
MO
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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