Individual
SHANTELL E DENDAUW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
906 ROYAL CT, MEDFORD, OR 97504-6139
(541) 500-0959
(541) 816-4275
Mailing address
1221 DISK DR, MEDFORD, OR 97501-6638
(541) 500-0959
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6914
OR
Other
Enumeration date
03/28/2016
Last updated
09/22/2023
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