Individual
SHELLEY R. TARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.D
Contact information
Practice address
1220 HIGHWAY 287 N, MANSFIELD, TX 76063-4804
(817) 453-8826
(817) 453-8830
Mailing address
2701 PARK PLACE CT, ARLINGTON, TX 76016-5891
(817) 453-8826
(817) 453-8830
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
16400
TX
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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