STEPHANIE SHACKELFORD

DALLAS, TX
NPI1952072241
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: TX  14103)
Enumeration Date2021-09-26
Last Update Date2021-09-26
Business Address
STEPHANIE SHACKELFORD RDH
3340 LONGMEADE DR
DALLAS, TX 75234-3748
Phone number: 214-995-9761
Mailing Address
STEPHANIE SHACKELFORD RDH
3340 LONGMEADE DR
DALLAS, TX 75234-3748
Phone number: 214-995-9761