Individual
DR. SHELBY JACE BEATTIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
228 E LAURIDSEN BLVD, PORT ANGELES, WA 98362-7821
(360) 457-4850
Mailing address
228 E LAURIDSEN BLVD, PORT ANGELES, WA 98362-7821
(360) 457-4850
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE60330318
WA
Other
Enumeration date
01/23/2013
Last updated
01/23/2013
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