Individual
SANDRA LYNN SHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
417 HUDSON DR, ELIZABETHTON, TN 37643-2881
(423) 543-4141
Mailing address
120 SLAGLE RD, ELIZABETHTON, TN 37643-6649
(423) 360-2563
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH0000004733
TN
Other
Enumeration date
05/29/2023
Last updated
05/29/2023
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