SHELTON PARK MIMS

HUNTSVILLE, AL
NPI1124237805
Professional NameSHELTON PARK MIMS
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223E0200X Dentist, Endodontics
(Licence: AL  3879)
Enumeration Date2007-05-21
Last Update Date2012-05-21
Business Address
Dr. SHELTON PARK MIMS D.M.D.
4101 BALMORAL DR SW SUITE B
HUNTSVILLE, AL 35801-6409
Phone number: 256-880-6556
Mailing Address
Dr. SHELTON PARK MIMS D.M.D.
4101 BALMORAL DR SW SUITE B
HUNTSVILLE, AL 35801-6409
Phone number: 256-880-6556
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