Individual
MS. SHANIKA EVETTE DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DA
Contact information
Practice address
916 MCLAUGHLIN ST, STATESVILLE, NC 28677-6836
(704) 924-8960
Mailing address
PO BOX 6563, STATESVILLE, NC 28687-6563
(704) 924-8960
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
11/20/2007
Last updated
11/20/2007
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