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1407003825
GEORGE MICHAEL SHELLUM
LA JOLLA, CA
NPI
1407003825
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 24403)
Enumeration Date
2008-08-27
Last Update Date
2008-08-27
Business Address
DR. GEORGE MICHAEL SHELLUM DDS
5666 LA JOLLA BLVD # 11
LA JOLLA, CA 92037-7523
Phone number: 858-245-3530
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Mailing Address
DR. GEORGE MICHAEL SHELLUM DDS
5666 LA JOLLA BLVD # 11
LA JOLLA, CA 92037-7523
Phone number: 858-245-3530
Copy
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