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Organization

SHA ORTHODONTICS

Active
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Organization

SHA ORTHODONTICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SEANICA M HOWE DDS (ORTHODONTIST/OWNER)
(573) 776-1355
Entity
Organization

Contact information

Practice address
2951 KANELL BLVD, POPLAR BLUFF, MO 63901-4008
(573) 776-1355
(573) 776-1167
Mailing address
2951 KANELL BLVD, POPLAR BLUFF, MO 63901-4008
(573) 776-1355
(573) 776-1167

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2008035697
MO

Other

Enumeration date
09/10/2009
Last updated
09/10/2009
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