Individual
SHELLY CELESTE RABALAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
813 DUMAINE CT, BOSSIER CITY, LA 71111
(318) 865-3311
Mailing address
813 DUMAINE COURT, BOSSIER CITY, LA 71111
(504) 430-4024
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5655
LA
Other
Enumeration date
07/16/2007
Last updated
04/09/2008
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