Individual
DR. BEANKA N SHAMOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
9351 VIKING CENTER DR STE 101, LOUISVILLE, KY 40222-5701
(502) 554-9336
Mailing address
1626 SHAKER HEIGHTS DR, BLOOMFIELD HILLS, MI 48304-1148
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11011
KY
1223G0001X
General Practice Dentistry
2901601390
MI
Other
Enumeration date
06/10/2022
Last updated
07/18/2023
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