Shelby J. Trail DMD

NPI 1083615900 - Dentist - 122300000X

NPI Details
NPI 1083615900
Gender Female
Enumeration Date 08/02/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
1851 W INDIANTOWN RD
SUITE 203
JUPITER FL, 33458-3995, US
Phone (561) 743-8705
Fax (561) 743-3791
Business Location
1851 W INDIANTOWN RD
SUITE 203
JUPITER FL, 33458-3995, US
Phone (561) 743-8705
Fax (561) 743-3791
Toxanomy
Taxonomy Code 122300000X
License State Florida
License Number DN12805
Remove 1083615900 NPI Number
 

According to our database, Dr. Shelby J. Trail DMD NPI is 1083615900, taxonomy code is 122300000X and license number is DN12805, license state is located at Florida. Shelby J. Trail DMD physically located at 1851 W Indiantown Rd, Jupiter FL, 33458-3995. NPI Number Shelby J. Trail DMD has the Individual type.

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1083615900 NPI number is provided on an as is basis without warranty of any kind. 1083615900 is maintained by the National Plan & Provider Enumeration System. The contents of Shelby J. Trail DMD are for informational purposes only.