Individual
SHAKEYA N MUNDEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3401 GEORGIA AVE NW, WASHINGTON, DC 20010-2501
(202) 829-5437
Mailing address
201 W 8TH ST, SUITE 810, PUEBLO, CO 81003-3038
(719) 562-4447
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN1000618
DC
Other
Enumeration date
10/27/2007
Last updated
12/29/2010
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