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1912665241
JACOB CARL SHELLEY
CARLSBAD, NM
NPI
1912665241
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: NM DD5534)
Enumeration Date
2021-12-03
Last Update Date
2021-12-03
Business Address
Dr. JACOB CARL SHELLEY DMD, MS
701 N CANYON ST
CARLSBAD, NM 88220-5817
Phone number: 575-654-2107
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Mailing Address
Dr. JACOB CARL SHELLEY DMD, MS
701 N CANYON ST
CARLSBAD, NM 88220-5817
Phone number: 575-654-2107
Copy
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