Harrry Martin Shively DDS

NPI 1083762199 - Dentist - 1223G0001X

NPI Details
NPI 1083762199
Gender Male
Enumeration Date 01/08/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3233 VALENCIA AVE
SUITE B-3
APTOS CA, 95003-4157, US
Phone (831) 662-2777
Fax (831) 688-2022
Business Location
3233 VALENCIA AVE
SUITE B-3
APTOS CA, 95003-4157, US
Phone (831) 662-2777
Fax (831) 688-2022
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 32396
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According to our database, Dr. Harrry Martin Shively DDS NPI is 1083762199, taxonomy code is 1223G0001X and license number is 32396, license state is located at California. Harrry Martin Shively DDS physically located at 3233 Valencia Ave, Aptos CA, 95003-4157. NPI Number Harrry Martin Shively DDS has the Individual type.

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1083762199 NPI number is provided on an as is basis without warranty of any kind. 1083762199 is maintained by the National Plan & Provider Enumeration System. The contents of Harrry Martin Shively DDS are for informational purposes only.