Individual
SHAUNNA JOLANDA SZABO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1070 HIGHWAY 501 BUSINESS, CONWAY, SC 29526-9588
(843) 347-2273
Mailing address
204 N SHORE DR UNIT 835, MYRTLE BEACH, SC 29579-4405
(843) 697-7440
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401411014
VA
122300000X
Dentist
Primary
4514
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107271
—
VA
Enumeration date
08/30/2006
Last updated
08/18/2008
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