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Individual

KEERTHI SHABADU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
15100 LIBRARY LN, NEW BERLIN, WI 53151-5291
(262) 641-0056
Mailing address
2332 MILLBROOK LOOP, LEANDER, TX 78641-1510

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1002553-15
WI

Other

Enumeration date
06/10/2021
Last updated
06/10/2021
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