Individual
SHELLY DIMIERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, IHP
Contact information
Practice address
12809 URSA MAJOR PATH, AUSTIN, TX 78732-2426
(512) 963-1759
Mailing address
12809 URSA MAJOR PATH, AUSTIN, TX 78732-2426
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
20265
TX
171400000X
Health & Wellness Coach
—
—
Other
Enumeration date
07/24/2025
Last updated
07/24/2025
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