TOM SHELLY

FORT DODGE, IA
NPI1215006879
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: IA  5796)
Enumeration Date2006-11-07
Last Update Date2007-07-09
Business Address
-- TOM SHELLY D.D.S., M.S.
902 2ND AVE N
FORT DODGE, IA 50501-3958
Phone number: 515-573-8351
Mailing Address
-- TOM SHELLY D.D.S., M.S.
902 2ND AVE N
FORT DODGE, IA 50501-3958
Phone number: 515-573-8351