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Individual
KEDY SHEN
Active
Individual
KEDY SHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D10526
OR
1223G0001X
General Practice Dentistry
D10526
OR
Other
Enumeration date
08/06/2016
Last updated
08/13/2024
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