Individual
DR. SHELLY L FRITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7520 MONTGOMERY BLVD NE, E-12, ALBUQUERQUE, NM 87109-1521
(505) 888-6980
(505) 888-9522
Mailing address
7520 MONTGOMERY BLVD NE, E-12, ALBUQUERQUE, NM 87109-1521
(505) 888-6980
(505) 888-9522
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1802
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86693
—
NM
Enumeration date
10/12/2005
Last updated
07/09/2007
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