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1821017179
JERRY D SHIPLEY
DALLAS, TX
NPI
1821017179
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 13806)
Enumeration Date
2006-07-18
Last Update Date
2007-07-08
Business Address
Dr. JERRY D SHIPLEY DDS
5414 ALPHA RD
DALLAS, TX 75240-4506
Phone number: 972-458-1541
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Mailing Address
Dr. JERRY D SHIPLEY DDS
5414 ALPHA RD
DALLAS, TX 75240-4506
Phone number: 972-458-1541
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