Individual
DAVID DEAN SHIVELY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
304 COLUMBUS ST, BAKERSFIELD, CA 93305-1804
(661) 325-3498
Mailing address
5603 AUBURN ST, UNIT B, BAKERSFIELD, CA 93306-2979
(661) 325-3498
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
26922
CA
Other
Enumeration date
06/09/2006
Last updated
05/05/2016
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