Individual
SHANE HARPHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
79 W ALEXANDRINE ST, DETROIT, MI 48201-2015
(313) 833-2895
Mailing address
79 W ALEXANDRINE ST, DETROIT, MI 48201-2015
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901020461
MI
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
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