ETHAN JOHN HOWARD SHELTON

PADUCAH, KY
NPI1104484203
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: TN  11060)
Enumeration Date2019-06-03
Last Update Date2019-10-01
Business Address
ETHAN JOHN HOWARD SHELTON DMD
2018 BROADWAY ST
PADUCAH, KY 42001-7108
Phone number: 270-443-9099
Mailing Address
ETHAN JOHN HOWARD SHELTON DMD
117 30TH AVE N APT 304
NASHVILLE, TN 37203-1395
Phone number: 618-638-3868
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