Organization · Type 2 NPI

Shelly Self DMD PLLC

Dental Clinic/Center · Poulsbo, WA

NPI number 1780003723 Active

Practice location

19365 7th Ave NE, Suite D 108
Poulsbo, WA 98370-7441

Call (360) 779-7115 Map

Fax (360) 779-3990

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XDE10256 (WA)

Dental Clinic/Center: Definition to come...

6 other providers at this address

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About NPI 1780003723

Shelly Self DMD PLLC's National Provider Identifier is 1780003723, issued on Apr 7, 2014. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Poulsbo, WA. The record was last updated on Apr 7, 2014.