Individual
DR. ERIC RADCLIFF SHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S, M.S.
Contact information
Practice address
250 E ELLERSLIE AVE, COLONIAL HEIGHTS, VA 23834-1457
(804) 526-1241
(804) 520-0546
Mailing address
250 E ELLERSLIE AVE, P.O. BOX 697, COLONIAL HEIGHTS, VA 23834-1457
(804) 526-1241
(804) 520-0546
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401413463
VA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
30320
IA
Other
Enumeration date
05/01/2012
Last updated
05/01/2012
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