Individual
DR. SPENCER GRISSOM SHELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
25485 LANKFORD HIGHWAY, ONLEY, VA 23418
(757) 787-7000
Mailing address
PO BOX 599, ONLEY, VA 23418-0599
(757) 787-7000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401412147
VA
Other
Enumeration date
07/01/2008
Last updated
07/01/2008
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