Individual
DR. MARIANNE MILLS SHEROAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D, M.S.
Contact information
Practice address
1107 CROWNE POINTE BUSINESS CENTER, SUITE F, ELIZABETHTOWN, KY 42701
(270) 769-3858
Mailing address
179 CAMARA CT, ELIZABETHTOWN, KY 42701-5178
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7612
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017683
—
KY
Enumeration date
10/24/2005
Last updated
05/08/2008
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