Organization
SDSDDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVE D SHUFFLEBARGER DDS (SINGLE MEMBER)
(937) 369-3069
Entity
Organization
Contact information
Practice address
1850 GRAND PORTAGE TRL, XENIA, OH 45385-9593
(937) 369-3069
(937) 431-1268
Mailing address
1850 GRAND PORTAGE TRL, XENIA, OH 45385-9593
(937) 369-3069
(937) 431-1268
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30021080
OH
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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