Individual
DR. SHELLY KITAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
420 N JAMES RD, COLUMBUS, OH 43219-1834
(614) 257-5430
Mailing address
420 N JAMES RD, COLUMBUS, OH 43219-1834
(614) 257-5430
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901021099
MI
1223G0001X
General Practice Dentistry
60745
CA
Other
Enumeration date
08/11/2011
Last updated
07/31/2014
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