Individual
SHELBY JENAE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5640 SOUTH ST STE 1, LINCOLN, NE 68506-2231
(402) 489-0787
Mailing address
7149 NW 18TH ST, LINCOLN, NE 68521-1687
(402) 335-7594
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7841
NE
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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