Individual
DR. SAMANTHA RUTH SHIPLEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1227 WETZEL RD, FT CARSON, CO 80913
(719) 526-3330
Mailing address
1310 CARLSON DR, COLORADO SPRINGS, CO 80919-3925
(719) 210-0255
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
12066
TX
1223G0001X
General Practice Dentistry
Primary
8996
CO
Other
Enumeration date
06/07/2006
Last updated
07/08/2007
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