| NPI | 1134563471 |
|---|---|
| Doing Business As | SHELTON DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | KATHERINE KETCHER Owner/Manager 360-426-8401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE9709) |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2013-04-17 |