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Individual

JEFF THOMAS SHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D D S

Contact information

Practice address
4201 BEE CAVES RD, C 104, AUSTIN, TX 78746-6465
(512) 330-9016
(512) 330-9962
Mailing address
4201 BEE CAVES RD, C 104, AUSTIN, TX 78746-6465
(512) 330-9016
(512) 330-9962

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
20212
TX

Other

Enumeration date
11/13/2006
Last updated
07/08/2007
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