Individual
SHELBY BLAIRE STOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 N LIBERTY ST, SPARTANBURG, SC 29302-1103
(864) 658-4120
Mailing address
140 MORNING LAKE DR, LEXINGTON, SC 29072-7519
(803) 760-9505
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10507
SC
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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