Individual
SHELLY MARIE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
18945 FM 2252, SUITE 115, GARDEN RIDGE, TX 78266-2562
(210) 564-6602
(210) 651-0029
Mailing address
18945 FM 2252, SUITE 115, GARDEN RIDGE, TX 78266-2562
(210) 564-6602
(210) 651-0029
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH 17325
FL
Other
Enumeration date
04/13/2011
Last updated
04/13/2011
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