Individual
WESLEY J SHELNUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1200 BALD RIDGE MARINA RD, SUITE 200, CUMMING, GA 30041-8526
(770) 781-8650
(770) 781-8650
Mailing address
1200 BALD RIDGE MARINA RD, SUITE 200, CUMMING, GA 30041-8526
(770) 781-8650
(770) 781-8650
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN015174
GA
Other
Enumeration date
07/20/2016
Last updated
03/07/2023
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