| NPI | 1467050740 |
|---|---|
| Doing Business As | SHALLORTHO, PLLC |
| Entity Type | Organization |
| Authorized Contact | LAWRENCE SHALL Provider 757-762-3582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2020-10-09 |