Individual
DR. SHAWN DAVID SHUCAVAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3640 BROADWAY, ALLENTOWN, PA 18104-5216
(610) 395-0500
Mailing address
3640 BROADWAY, ALLENTOWN, PA 18104-5216
(610) 395-0500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS029824L
PA
Other
Enumeration date
09/12/2007
Last updated
09/12/2007
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