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Individual
MICHAEL SHAY COLE
Active
Individual
MICHAEL SHAY COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D20481
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1399228
UNITED CONCORDIA
TX
01
—
87D656
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/29/2006
Last updated
10/23/2012
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