Individual
DR. MICHAEL EUGENE SHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
335 W SOUTH BOULDER RD, SUITE 4, LOUISVILLE, CO 80027-1196
(303) 666-4260
Mailing address
335 W SOUTH BOULDER RD, SUITE 4, LOUISVILLE, CO 80027-1196
(303) 666-4260
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4789
CO
Other
Enumeration date
09/04/2006
Last updated
07/08/2007
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