Individual
DR. RONALD K. SHELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
20265 N 59TH AVE, SUITE B-5, GLENDALE, AZ 85308-6819
(623) 362-9616
(623) 362-2614
Mailing address
20265 N 59TH AVE, SUITE B-5, GLENDALE, AZ 85308-6819
(623) 362-9616
(623) 362-2614
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3505
AZ
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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