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Individual
DR. SHAWN E REESE
Active
Individual
DR. SHAWN E REESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS PC
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
08003
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0200550
—
IA
01
—
23960
BCBS
IA
01
—
64004970
BCBS
AL
Enumeration date
10/04/2006
Last updated
07/08/2007
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