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Individual

DR. DAVID STREET SHIRECLIFFE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
425 PINE ST STE 3, GALT, CA 95632-2055
(209) 745-4607
Mailing address
280 PONAHAWAI ST STE 201, HILO, HI 96720-3075
(808) 935-5488

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
108456
CA
1223G0001X
General Practice Dentistry
DT-2934
HI

Other

Enumeration date
08/13/2021
Last updated
01/06/2023
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