Individual
SHAUNA ANNE DENTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
21616 76TH AVE W STE 205, EDMONDS, WA 98026-7512
(425) 640-4810
(425) 640-4884
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD61288185
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2102259
—
WA
Enumeration date
03/29/2018
Last updated
12/01/2022
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