All Medicaid billing entities listing SHACKELFORD, TERI (OFFICE MANAGER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Washington | 1 | $510.55 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | MICHAEL CONWAY DDS PLLC | KENMORE, WA | General Practice Dentistry | $510.55 |