Individual
DR. MELISSA DANETTE SHOTELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD, MS
Contact information
Practice address
13955 MONO WAY, SUITE B, SONORA, CA 95370-2832
(209) 532-2288
(614) 436-2299
Mailing address
PO BOX 217, SOULSBYVILLE, CA 95372-0217
(209) 536-1954
(614) 436-2299
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
58232
CA
Other
Enumeration date
06/03/2008
Last updated
09/18/2014
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