Individual
DR. SHIRLEY DALETTE DORNBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
2116 SONATA LN, CARROLLTON, TX 75007-2239
(469) 877-8727
Mailing address
2116 SONATA LN, CARROLLTON, TX 75007-2239
(469) 877-8727
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
51097
TX
Other
Enumeration date
04/02/2018
Last updated
04/02/2018
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