| NPI | 1942450754 |
|---|---|
| Doing Business As | SHELTON DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DIANE M DEVRIES Business Manager 860-342-4141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CT 009846) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2010-09-01 |