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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