Individual
SHELLY VERMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2800 COORS BLVD NW STE A, ALBUQUERQUE, NM 87120-1204
(505) 352-1166
(505) 352-2805
Mailing address
2800 COORS BLVD NW STE A, ALBUQUERQUE, NM 87120-1204
(505) 352-1166
(505) 352-2805
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
28299
TX
Other
Enumeration date
08/28/2012
Last updated
04/16/2013
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