T. R. SHIVELY

SPENCER, IA
NPI1376626739
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IA  05797)
Enumeration Date2006-10-21
Last Update Date2007-07-08
Business Address
Dr. T. R. SHIVELY DDS
1206 2ND AVE E
SPENCER, IA 51301-4424
Phone number: 712-262-1055
Mailing Address
Dr. T. R. SHIVELY DDS
1206 2ND AVE E
SPENCER, IA 51301-4424
Phone number: 712-262-1055
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