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Organization

SD.SHELTON FAMILY DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PETER CRAIGUE SHELTON D.D.S. (PARTNER)
(931) 728-0313
Entity
Organization

Contact information

Practice address
1626 MCARTHUR ST, MANCHESTER, TN 37355-2522
(931) 728-0313
Mailing address
1626 MCARTHUR ST, MANCHESTER, TN 37355-2522
(931) 728-0313

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS4018
TN

Other

Enumeration date
03/07/2016
Last updated
03/07/2016
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