Individual
SHAHAD ALWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
230 CONNECTOR RD, GEORGETOWN, KY 40324-9722
(502) 642-5008
Mailing address
230 CONNECTOR RD, GEORGETOWN, KY 40324-9722
(502) 642-5008
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10646
KY
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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