Organization
ANNA SHIRLEY, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA SHIRLEY DDS (OWNER)
(936) 554-0996
Entity
Organization
Contact information
Practice address
4800 NE STALLINGS DR STE 113, NACOGDOCHES, TX 75965-1250
(936) 305-5155
Mailing address
4800 NE STALLINGS DR STE 113, NACOGDOCHES, TX 75965-1250
(936) 305-5155
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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