Individual
DR. WILLIAM SHELTON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
202 FAIRMOUNT AVE, NEWARK, NJ 07103-2455
(917) 656-7012
(212) 780-0895
Mailing address
202 FAIRMOUNT AVE, NEWARK, NJ 07103-2455
(917) 656-7012
(212) 780-0895
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22D100868900
NJ
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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