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Individual

MISS JOAN L. SHEHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
1700 POLO RD, WINSTON SALEM, NC 27106-4541
(336) 765-1390
Mailing address
3714 DEWSBURY RD, WINSTON SALEM, NC 27104-1607
(336) 760-2261

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
3333
NC

Other

Enumeration date
08/27/2006
Last updated
07/08/2007
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