Organization
W.H. SHUTTLESWORTH D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM H. SHUTTLESWORTH DDS (PRESIDENT)
(361) 578-9031
Entity
Organization
Contact information
Practice address
4301 RETAMA CIR, VICTORIA, TX 77901-2768
(361) 578-9031
(361) 572-3744
Mailing address
4301 RETAMA CIR, VICTORIA, TX 77901-2768
(361) 578-9031
(361) 572-3744
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
11133
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
090248802
—
TX
Enumeration date
08/19/2010
Last updated
08/19/2010
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