Individual
CHARLOTTE SHOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2004 DAGAMA DR, CEDAR PARK, TX 78613-5721
(512) 905-1519
Mailing address
2004 DAGAMA DR, CEDAR PARK, TX 78613-5721
(512) 905-1519
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
41821
TX
Other
Enumeration date
03/13/2023
Last updated
07/25/2025
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