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Individual
SHAUN THOMAS HEWARD
Active
Individual
SHAUN THOMAS HEWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12210727-9925
UT
390200000X
Student in an Organized Health Care Education/Training Program
2901021498
MI
Other
Enumeration date
07/10/2015
Last updated
06/24/2021
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