Boydston, Shellie Mundall

Boydston, Shellie Mundall is an sole proprietor health care provider with primary practice located at 28095 West Shore Road , Lake Arrowhead CA 92352-2924. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Boydston, Shellie Mundall can be contacted via phone (909) 480-1730.

Contact Information

Primary practice address
28095 West Shore Road Lake Arrowhead CA 92352-2924
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X HAP635 California

Profile Details

NPI number 1528515699
LBN Legal business name Boydston, Shellie Mundall
Credentials RDHAP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2016
Last updated Sep 7th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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