Individual
DR. RALPH M SHAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
196 DONNA AVE, MORGANTOWN, WV 26505-2884
(304) 241-4331
Mailing address
196 DONNA AVE, MORGANTOWN, WV 26505-2884
(304) 241-4331
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2569
WV
1223G0001X
General Practice Dentistry
DS022084L
PA
Other
Enumeration date
01/15/2008
Last updated
11/01/2010
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