Individual
SHELLY BRIANNE CRECELIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1141 PEAR TREE LN, NAPA, CA 94558-6484
(707) 254-1774
Mailing address
1141 PEAR TREE LN, NAPA, CA 94558-6484
(707) 254-1774
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
23160
CA
Other
Enumeration date
07/18/2017
Last updated
08/18/2017
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