Individual
EDWARD J SHAHEEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10363 CLAYTON RD, SAINT LOUIS, MO 63131-2907
(314) 991-0697
(314) 991-3436
Mailing address
10363 CLAYTON RD, SAINT LOUIS, MO 63131-2907
(314) 991-0697
(314) 991-3436
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
012428
MO
Other
Enumeration date
12/15/2011
Last updated
12/15/2011
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