Individual
SHANNON K CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2837 STABLE DR STE A, KIMBALL, MI 48074-1441
(810) 985-3301
(855) 747-1702
Mailing address
2837 STABLE DR STE A, KIMBALL, MI 48074-1441
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902012674
MI
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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