Individual
DR. LAELAYE B SHIMELES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
7878 GATEWAY BLVD E, STE 300, EL PASO, TX 79915-1838
(915) 595-1200
(915) 595-0400
Mailing address
13806 GULLIVERS TRL, BOWIE, MD 20720-5329
(301) 693-4896
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
14374
MD
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
27480
TX
Other
Enumeration date
11/02/2011
Last updated
11/02/2011
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