Individual
KARYN ASHLEY REPASS SHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
51 NASSAU ST, CHARLESTON, SC 29403-5513
(843) 722-4112
(843) 722-5726
Mailing address
1004 STANTON PL, MYRTLE BEACH, SC 29579-3390
(423) 384-1580
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
11724
SC
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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