Individual
DR. STEPHANIE BROOKE SHANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
1700 W SMITH VALLEY RD, SUITE A-1, GREENWOOD, IN 46142-1599
(317) 888-9833
(317) 885-1754
Mailing address
1700 W SMITH VALLEY RD, SUITE A-1, GREENWOOD, IN 46142-1599
(317) 888-9833
(317) 885-1754
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12011699A
IN
Other
Enumeration date
07/14/2011
Last updated
11/03/2016
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